Individual provider Active NPI

Raymelle M. Schoos, M.D.

  • Psychiatry Physician
  • Gwinn, MI
National Provider Identifier
1033211545
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301089104 Issued in MI
Practice address
301 Explorer St
Gwinn, MI 49841-2813
Phone
(906) 346-4924
Fax
(906) 346-6474
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301089104 MI Primary

Addresses

Primary practice location

301 Explorer St
Gwinn, MI 49841-2813

Mailing address

506 Campus Dr
Hancock, MI 49930-1569
Phone (906) 483-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041113000051 IL Practitioner - Psychiatry 9133191851 Reassigns benefits to 2 organizations
I20160804000802 MI Practitioner - PsychiatryPractitioner - Neurology 9133191851 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301089104MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Jul 22, 2023 Accepting new patients
County of Macomb CurrentSince Jul 22, 2023 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients
Illinois Department of Human Services Current Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jun 13, 2022 Accepting new patients
Rodasi LLC Psychiatry CurrentSince Apr 24, 2023 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jun 13, 2022 Accepting new patients
Illinois Department of Human Services CurrentSince Jan 14, 2020 Accepting new patients
Illinois Department of Human Services CurrentSince Jan 14, 2020 Accepting new patients
Vine St Clinic Psychiatry Past Accepting new patients

Locations

1315 Lehmen Dr
Chester, IL 62233
Phone (618) 826-4571

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

100 S Grand Ave E
Springfield, IL 62762

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

2040 Chambers Rd
Caro, MI 48723
Phone (989) 672-9338

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

6555 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 469-7792

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Macomb 81 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

NPI Registry JSON

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1033211545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "906-346-4924",
            "fax_number": "906-346-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOOS",
        "first_name": "RAYMELLE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301089104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gwinn, MI

Sources for this page

Verify at the official NPI Registry.