Active NPI
Clarissa J Schienebeck, PH.D.
- Psychologist
- Verona, WI
National Provider Identifier
1073906558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3245-57
- Practice address
- 801 Redan Dr
Verona, WI 53593-7862 - Phone
- (608) 442-2604
- NPI assigned
- Mar 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 3245-57 | WI | Primary |
Addresses
Primary practice location
801 Redan Dr
Verona, WI 53593-7862
Mailing address
W3516 Exeter Crossing Rd
Belleville, WI 53508-9646
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3245-57 | WI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1073906558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W3516 EXETER CROSSING RD",
"city": "BELLEVILLE",
"state": "WI",
"postal_code": "535089646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 REDAN DR",
"city": "VERONA",
"state": "WI",
"postal_code": "535937862",
"telephone_number": "608-442-2604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIENEBECK",
"first_name": "CLARISSA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-09",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "3245-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Verona, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.