Provider Demographics
NPI:1912530791
Name:SCHAFER, REBEKAH (PSYD)
Entity type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E 65TH ST APT 124
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6744
Mailing Address - Country:US
Mailing Address - Phone:516-710-0711
Mailing Address - Fax:
Practice Address - Street 1:370 LEXINGTON AVE RM 1200
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6534
Practice Address - Country:US
Practice Address - Phone:212-696-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-19
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023583-01103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical