C Schroeder Psych SC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

C SCHROEDER PSYCH SC

Practice address

1020 Maritime Dr
Manitowoc, WI 54220-2922

Phone

(920) 769-0152

Fax

(920) 769-0153

NPI assigned

Oct 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Callie Marie Schroeder, PSY.D.

Title

Owner/Clinical Psychologist

Phone

(920) 901-8360

Specialties & licenses 1

Addresses

Other names 1

• Lakeview Psychological Associates Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Borlee

  • Mental Health Counselor
  • Manitowoc, WI
  • NPI 1013834316
  NPD (past)
• Daniel Joseph Burbach, PHD

  • Psychologist
  • Manitowoc, WI
  • NPI 1700960713
  NPD (past)
• Geralyn Ann Carducci, DO

  • Psychiatry Physician
  • Manitowoc, WI
  • NPI 1790869717
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1003531005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WESTWOOD LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201604",
            "telephone_number": "920-901-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 MARITIME DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202922",
            "telephone_number": "920-769-0152",
            "fax_number": "920-769-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C SCHROEDER PSYCH SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "920-901-8360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Marie Buhr, RDH
• Daniel Joseph Burbach, PHD
• Anna Burch
• Steven Burton
• Thomas William Butzer
• Beverly A. Calub, M.D.
• Matthew Campbell, MD
• Patricia J Cantagallo, MD
• Julie Capello, OTA
• Mark J Capriolo, MD

• Psychologist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.