Individual provider Active NPI

Mary Schenkenfelder, PHD

  • Psychologist
  • Ankeny, IA
National Provider Identifier
1174119234
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0031 Issued in IA
Practice address
215 NW 18TH St Ste 102
Ankeny, IA 50023-4282
Phone
(515) 348-8258
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0031 IA Primary

Addresses

Primary practice location

215 NW 18TH St Ste 102
Ankeny, IA 50023-4282

Mailing address

215 NW 18TH St Ste 102
Ankeny, IA 50023-4282
Phone (515) 348-8258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20210812002576 IA Practitioner - Clinical Psychologist 0143624106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Des Moines Pastoral Counseling CenterGroup PAC ID 0749272649, 22 clinicians

Practice addresses (Care Compare)

8553 Urbandale Ave
Urbandale, IA 50322-4108
Phone (515) 274-4006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Spirit Counseling Center CurrentSince Jan 1, 2023 Accepting new patients
Integrative Counseling Solutions Inc. PastSince Nov 1, 2022 Accepting new patients

Locations

8553 Urbandale Ave
Urbandale, IA 50322
Phone (515) 274-4006

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1174119234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 NW 18TH ST STE 102",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234282",
            "telephone_number": "515-348-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NW 18TH ST STE 102",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234282",
            "telephone_number": "515-348-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENKENFELDER",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "0031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.