Individual provider Active NPI

Julie L Schumpelt, ED.S.

  • School Psychologist
  • Taos, NM
National Provider Identifier
1164585741
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
225777 Issued in NM
Practice address
213 Paseo del Canon E
Taos, NM 87571-6239
Phone
(505) 758-5223
Fax
(505) 758-5298
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 225777 NM Primary

Addresses

Primary practice location

213 Paseo del Canon E
Taos, NM 87571-6239

Mailing address

4 Lavender LN
Ranchos de Taos, NM 87557-8771
Phone (505) 751-1089

Other identifiers 1

IdentifierTypeStateIssuer
47954353MedicaidNM

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
225777NMMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164585741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LAVENDER LN",
            "city": "RANCHOS DE TAOS",
            "state": "NM",
            "postal_code": "875578771",
            "telephone_number": "505-751-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PASEO DEL CANON E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716239",
            "telephone_number": "505-758-5223",
            "fax_number": "505-758-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMPELT",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "225777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47954353",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.