Individual provider Active NPI

Mary Whitmore Schindler, PSY.D.

  • Clinical Neuropsychologist
  • Walnut Creek, CA
National Provider Identifier
1144588484
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY23962 Issued in CA
Practice address
1940 Tice Valley Blvd
Suite C
Walnut Creek, CA 94595-2229
Phone
(925) 988-0569
Fax
(925) 478-7930
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY23962 CA Primary

Addresses

Primary practice location

1940 Tice Valley Blvd
Suite C
Walnut Creek, CA 94595-2229

Mailing address

1940 Tice Valley Blvd
Suite C
Walnut Creek, CA 94595-2229
Phone (925) 988-0569

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter East Bay Medical Foundation Past Accepting new patients
Mt Diablo Memory Center, a Psychological Corporation Clinical Neuropsychologist PastSince Nov 1, 2008 Accepting new patients

Organizations & group practices 2

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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1144588484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 TICE VALLEY BLVD",
            "address_2": "SUITE C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952229",
            "telephone_number": "925-988-0569",
            "fax_number": "925-478-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 TICE VALLEY BLVD",
            "address_2": "SUITE C",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952229",
            "telephone_number": "925-988-0569",
            "fax_number": "925-478-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE SCHINDLER",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY23962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.