Carol J Schwarzkopf, PHD LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1810474 Issued in MN

Practice address

217 S 7TH St Ste 215
Brainerd, MN 56401-3695

Phone

(218) 828-4602

NPI assigned

Jul 17, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

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

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164440285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 S 7TH ST STE 215",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013695",
            "telephone_number": "218-828-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 7TH ST STE 215",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013695",
            "telephone_number": "218-828-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARZKOPF",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "PHD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "1810474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "160526",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218188",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1N063SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6167697",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maya Jean Schroeder, OTR/L
• Renae Schroeder, LICSW
• Susan Lee Schwankl
• Laura J Schwartzwald, R.PH.
• Michael R Schwartzwald, R.PH.
• Patricia Diane Scott, M.A.
• Michelle R Seely, CNP
• Select Life Chiropractic, Inc.
• Service Drug of Brainerd, Inc
• Claribel Severson, PHD, NCC, LPCC

• Psychologist in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.