Individual provider Active NPI

Cynthia Louise Schnacke, PH.D.

  • Psychologist
  • Lawrence, KS
National Provider Identifier
1043310089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0872 Issued in KS
Practice address
Teakwood Psychological Resources
2201 W. 25TH Street, Suite O
Lawrence, KS 66047
Phone
(785) 841-6446
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0872 KS Primary

Addresses

Primary practice location

Teakwood Psychological Resources
2201 W. 25TH Street, Suite O
Lawrence, KS 66047

Mailing address

2201 W 25TH St
Lawrence, KS 66047-2958
Phone (785) 841-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050620000520 KS Practitioner - Clinical Psychologist 4082658158 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0872KSMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Teakwood Psychological Resources, P.a. CurrentSince Nov 1, 1996 Accepting new patients

Locations

2201 W 25th St
Ste O
Lawrence, KS 66047
Phone (785) 841-6446

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043310089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W 25TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660472958",
            "telephone_number": "785-841-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEAKWOOD PSYCHOLOGICAL RESOURCES",
            "address_2": "2201 W. 25TH STREET, SUITE O",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66047",
            "telephone_number": "785-841-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNACKE",
        "first_name": "CYNTHIA",
        "middle_name": "LOUISE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KS",
            "license": "0872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.