Janice Marie Schreckengost, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY12436 Issued in CA

Practice address

611 Veterans Blvd
Suite 114
Redwood City, CA 94063-1499

Phone

(650) 430-4763

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396310400000",
    "number": "1003970427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 VETERANS BLVD",
            "address_2": "SUITE 114",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631499",
            "telephone_number": "650-430-4763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 VETERANS BLVD",
            "address_2": "SUITE 114",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631499",
            "telephone_number": "650-430-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRECKENGOST",
        "first_name": "JANICE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Schmadeke
• Arlene Schmidt, R.N.
• Schoenstein Physical Therapy and Worker Selection Testing Inc.
• George Edward Schoenstein, PT
• Susan G Schor, NP
• Aron Schuftan, MD
• John R Schulte, M.D.
• Heather Schumacher, CCC-SLP
• Kent Edward Schumacher, DPT
• John Tyler Schwartz, M.D.

• Psychologist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.