Individual provider Active NPI

Patricia Couri Schniedwind

  • Psychologist
  • Colorado Springs, CO
National Provider Identifier
1104141076
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3332 Issued in CO
Practice address
407 S Tejon St
Suite B
Colorado Springs, CO 80903-2146
Phone
(719) 229-9739
NPI assigned
Apr 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3332 CO Primary

Addresses

Primary practice location

407 S Tejon St
Suite B
Colorado Springs, CO 80903-2146

Mailing address

2475 Rossmere St
Colorado Springs, CO 80919-4867
Phone (719) 229-9739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140109001526 CO Practitioner - Clinical Psychologist 3072741461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2475 Rossmere St
Colorado Springs, CO 80919-4867

5825 Delmonico Dr
Suite 320
Colorado Springs, CO 80919-2220

5825 Delmonico Dr
Suite 320
Colorado Springs, CO 80919-2242
Phone (719) 229-9739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3332COMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Couri Schniedwind, Psy.D., P.L.L.C. CurrentSince Jun 15, 2013 Accepting new patients

Locations

5825 Delmonico Dr
Ste 320
Colorado Springs, CO 80919
Phone (719) 229-9739

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": "1270166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1104141076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 ROSSMERE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194867",
            "telephone_number": "719-229-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S TEJON ST",
            "address_2": "SUITE B",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032146",
            "telephone_number": "719-229-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNIEDWIND",
        "first_name": "PATRICIA",
        "middle_name": "COURI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-02",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.