Kenneth R Schneider, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29421 Issued in MS

Practice address

1820 23Rd Ave
Meridian, MS 39301-3105

Phone

(601) 513-4268

Fax

(601) 282-5851

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Clinical Psychologist

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1154300663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013105",
            "telephone_number": "601-513-4268",
            "fax_number": "601-282-5851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013105",
            "telephone_number": "601-513-4268",
            "fax_number": "601-282-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "29421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "680011364",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Daniel Saul, M.D.
• Christy L Savell, NP
• Joseph T Sayers, CRNA
• Mary Alice Schaefer, D.O.
• Caleb Schedule, DO
• Alison Schubert, OTR/L
• Alicia M Schultz, DPT, ATC
• Deborah Jean Schultz, MD
• David L. Schuurman, CRNA
• George Terry Sciple II, DNP, APRN, CRNA

• Clinical Psychologist in Meridian, MS
• Providers in Meridian, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.