Individual provider Active NPI

Brooke Schauder, PH.D.

  • Clinical Psychologist
  • Truckee, CA
National Provider Identifier
1013100288
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21639 Issued in CA
Practice address
10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861
Phone
(530) 550-6716
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 21639 CA Primary

Addresses

Primary practice location

10956 Donner Pass Rd FL 2
Truckee, CA 96161-4861

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4378
Phone (650) 962-4429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124001507 CA Practitioner - Clinical Psychologist 8628449980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

10051 Lake Ave
Suite 3
Truckee, CA 96161-4870
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

10121 Pine Ave
Truckee, CA 96161-4856

10175 Levone Ave
Truckee, CA 96161-4821
Phone (530) 582-3277

10800 Donner Pass Rd
A 103
Truckee, CA 96161-0432
Phone (530) 582-3440

10833 Donner Pass Rd
Suite 201
Truckee, CA 96161-4851
Phone (530) 582-3505

10956 Donner Pass Rd
Truckee, CA 96161-4860

12313 Soaring Way
Suite 1C and 2B
Truckee, CA 96161-3353
Phone (530) 582-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Dec 1, 2022 Accepting new patients
Tahoe Forest Hospital District Current Accepting new patients
Tahoe Forest Hospital District CurrentSince Dec 1, 2022 Accepting new patients

Locations

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10833 Donner Pass Rd
Ste 201
Truckee, CA 96161
Phone (530) 582-3505

10956 Donner Pass Rd
Fl 2
Truckee, CA 96161
Phone (530) 550-6716

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5067/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1013100288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404378",
            "telephone_number": "650-962-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD FL 2",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-550-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUDER",
        "first_name": "BROOKE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.