Jennifer L Schroeder, PHD, LSSP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32525 Issued in TX

Practice address

6138 Rincon Way
Dallas, TX 75214-2035

Phone

(214) 498-4707

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Behavioral and Medical Homecare Inc

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1043203458
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1174747679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871803",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751871803",
            "telephone_number": "214-498-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6138 RINCON WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142035",
            "telephone_number": "214-498-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PHD, LSSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32525",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Michelle Schrock, MD
• Katlin Schrodt
• Chriselda Juanita Schroeder, CPNP
• Courtney Marie Schroeder, CRNA
• James Gary Schroeder, MD
• Katherine Schroeder, MS, CCC-SLP
• Molly Ann Schroeder
• Vinita Schroeder, M.D.
• Timothy John Schroedter, CRNA
• Kevin F. Schrunk, DO

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.