Miriam L Schroeder, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2013030327 Issued in MO

Practice address

3115 S Grand Blvd
Suite 400-B
Saint Louis, MO 63118-1034

Phone

(314) 594-7047

Fax

(888) 366-3261

NPI assigned

Jul 9, 2009

Last updated

May 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464566400000",
    "number": "1093944100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S GRAND BLVD",
            "address_2": "SUITE 400-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181034",
            "telephone_number": "314-594-7047",
            "fax_number": "888-366-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 S GRAND BLVD",
            "address_2": "SUITE 400-B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181034",
            "telephone_number": "314-594-7047",
            "fax_number": "888-366-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "MIRIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2016-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2013030327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Sue Schroeder, MD
• Katrina Ann Schroeder, OTR/L
• Madeline Rose Schroeder
• Mark Andrew Schroeder, MD
• Matthew Kenneth Schroeder, MD
• Natalie Schroeder
• Sarah Schroeder, OT, MOTR/L
• Teresa C Schroeder, LCPC
• Tiffany Schroeder, PTA
• Robert Schroell III, M.D.

• Psychiatry Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Psychiatry Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.