Provider Demographics
NPI:1396897997
Name:SCHWARTZ, STEVEN S (PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:S
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 RIVERS EDGE DR
Mailing Address - Street 2:STE 140
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1342
Mailing Address - Country:US
Mailing Address - Phone:614-841-1101
Mailing Address - Fax:614-841-1957
Practice Address - Street 1:7650 RIVERS EDGE DR
Practice Address - Street 2:STE 140
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1342
Practice Address - Country:US
Practice Address - Phone:614-841-1101
Practice Address - Fax:614-841-1957
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4515103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH125803000OtherMAGELLAN PROVIDER #
OH000000115732OtherANTHEM PROVIDER #
OH4556138OtherAETNA PROVIDER #