Individual provider Active NPI

Dennis Joel Schneider, ED.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1124059324
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4265 Issued in OH
Practice address
375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone
(513) 825-6600
Fax
(513) 825-6696
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4265 OH Primary

Addresses

Primary practice location

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316

Mailing address

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2316
Phone (513) 825-6600

Other identifiers 1

IdentifierTypeStateIssuer
0796456MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071030000194 OH Practitioner - Clinical Psychologist 5698862217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Farrellco, Inc.Group PAC ID 4284862707, 5 clinicians

Practice addresses (Care Compare)

375 Glensprings Dr
Suite 300
Cincinnati, OH 45246-2351
Phone (513) 825-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farrellco Inc Clinical CurrentSince Nov 2, 2013 Accepting new patients

Locations

375 Glensprings Dr
Ste 300
Cincinnati, OH 45246
Phone (513) 825-6600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26392/brand/1/csg/1/fhir/r4

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1124059324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 GLENSPRINGS DR",
            "address_2": "SUITE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462316",
            "telephone_number": "513-825-6600",
            "fax_number": "513-825-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "DENNIS",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0796456",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.