Individual provider Active NPI

Shawn Shanee Nelson Schmitt, PH.D.

  • Clinical Neuropsychologist
  • Washington, DC
National Provider Identifier
1184071375
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
05623 Issued in MD
Practice address
2021 K St NW Ste 210
Washington, DC 20006-1003
Phone
(301) 562-6200
NPI assigned
May 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 05623 MD Primary

Addresses

Primary practice location

2021 K St NW Ste 210
Washington, DC 20006-1003

Mailing address

8555 16TH St Ste 310
Summit Building
Silver Spring, MD 20910-2802

Other identifiers 1

IdentifierTypeStateIssuer
05623OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160722000039 DC Practitioner - Clinical Psychologist 7911290382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
86.76
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05623MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Center CurrentSince Jun 28, 2016 Accepting new patients

Locations

2021 K St NW
Ste 210
Washington, DC 20006
Phone (202) 223-3560

1160 Varnum St NE
Ste 204
Washington, DC 20017
Phone (202) 526-4495

5454 Wisconsin Ave
Ste 1720
Chevy Chase, MD 20815

8555 16th St
Ste 310
Silver Spring, MD 20910
Phone (301) 563-7198

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23649/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1184071375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 310",
            "address_2": "SUMMIT BUILDING",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 210",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061003",
            "telephone_number": "301-562-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON SCHMITT",
        "first_name": "SHAWN",
        "middle_name": "SHANEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-18",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "05623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "05623",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.