Caroline G Schmidt, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2866-057 Issued in WI

Practice address

5555 N Port Washington Rd
Suite 200
Glendale, WI 53217-4929

Phone

(262) 542-3255

Fax

(414) 967-7965

NPI assigned

Oct 11, 2006

Last updated

Mar 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Caroline G Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lifestancehealth.carolineschmidt@149809.advancedmd-direct.com

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

• Caroline Schmidt, PHD, LLC

  • Clinical Psychologist
  • Bayside, WI
  • NPI 1043186471
  NPD Authorized official
• North Shore Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mequon, WI
  • NPI 1780755389
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1033207386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174929",
            "telephone_number": "262-542-3255",
            "fax_number": "414-967-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174929",
            "telephone_number": "262-542-3255",
            "fax_number": "414-967-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "2866-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "HENRY",
            "middle_name": "G",
            "prefix": "MS.",
            "credential": "MS LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marty Sapp, ED.D.
• Michael R Scales, DPT, LAT, ATC
• Anne B. Scannell, MSCCC-SLP
• Anne K Schilder, PHARMD
• Kye Schlosser
• Mary Katherine Schmidt, MA RN
• Corey James Schneider, D.C.
• Michelle Wilson Schofield, P.T.
• Mark A Schrager, M.D.
• Ana Schuessler, OTR/L

• Counseling Psychologist in Glendale, WI
• Providers in Glendale, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.