Active NPI
Paul Joseph Schroeder, EDD
- Health Service Psychologist
- Dubuque, IA
National Provider Identifier
1043387798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 00119
- Practice address
- 200 Mercy Dr
Suite 200
Dubuque, IA 52001-7303 - Phone
- (563) 582-0145
- Fax
- (563) 582-0722
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 00424 | IA | |
| Health Service Psychologist | 103TH0100X | 00119 | IA | Primary |
Addresses
Primary practice location
200 Mercy Dr
Suite 200
Dubuque, IA 52001-7303
Mailing address
200 Mercy Dr
Suite 200
Dubuque, IA 52001-7303
Phone (563) 582-0145
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00424 | IA | MD | Mental Health Counselor |
| 00119 | IA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043387798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY DR",
"address_2": "SUITE 200",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017303",
"telephone_number": "563-582-0145",
"fax_number": "563-582-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY DR",
"address_2": "SUITE 200",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520017303",
"telephone_number": "563-582-0145",
"fax_number": "563-582-0722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "PAUL",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "00424",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "IA",
"license": "00119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.