Jerome R Schmidt, PH. D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

22255 Issued in TX

Practice address

611 S Congress Ave
Suite 215 D
Austin, TX 78704-8706

Phone

(512) 442-5002

Fax

(512) 445-2035

NPI assigned

Feb 1, 2007

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144368424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CONGRESS AVE",
            "address_2": "SUITE 215 D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048706",
            "telephone_number": "512-442-5002",
            "fax_number": "512-445-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CONGRESS AVE",
            "address_2": "SUITE 215 D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787048706",
            "telephone_number": "512-442-5002",
            "fax_number": "512-445-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JEROME",
        "middle_name": "R",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "22255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Schmidt, MS, CCC-SLP
• Erica N Schmidt, LCSW
• Eva Cristina Schmidt, M.S. CCC-SLP
• Hilary Tami Schmidt, PHARMD
• Ingrid Elisabeth Schmidt, M.D.
• Joseph Gustava Schmidt Jr., D.D.S.
• Kristin Marie Schmidt
• Lauren Schmidt
• Robert Schmidt, D.C.
• Rosa Schmidt, LPC

• Psychologist in Austin, TX
• Providers in Austin, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.