Active NPI
Meganruth Christine Schumacher-Martinez, LP
- Psychologist
- La Crosse, WI
National Provider Identifier
1013763507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5190-57
- Practice address
- 2920 East Ave S Ste 100
La Crosse, WI 54601-8282 - Phone
- (608) 218-4234
- NPI assigned
- Apr 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5190-57 | WI | Primary |
Addresses
Primary practice location
2920 East Ave S Ste 100
La Crosse, WI 54601-8282
Mailing address
2920 East Ave S Ste 100
La Crosse, WI 54601-8282
Phone (608) 218-4234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5190-57 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sundance Psychological | Psychologist | Current | Accepting new patients |
Locations
2920 East Ave S
Ste 100
La Crosse, WI 54601
Phone (608) 218-4234
Organizations & group practices 1
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.
-
- Psychologist
- La Crosse, WI
- NPI 1700617123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1013763507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 EAST AVE S STE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018282",
"telephone_number": "608-218-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 EAST AVE S STE 100",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018282",
"telephone_number": "608-218-4234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUMACHER-MARTINEZ",
"first_name": "MEGANRUTH",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-25",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "5190-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.