Active NPI
Marlene Joan Schmidt, MD
- Child & Adolescent Psychiatry Physician
- Butner, NC
National Provider Identifier
1184790123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 02724
- Practice address
- 1003 12TH St
Butner, NC 27509-1626 - Phone
- (919) 575-7927
- Fax
- (919) 575-7895
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.057069 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 02724 | NC | Primary |
Addresses
Primary practice location
1003 12TH St
Butner, NC 27509-1626
Mailing address
1623 Wrenn Rd
Durham, NC 27703-6532
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0814533 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.057069 | OH | MD | Psychiatry Physician |
| 02724 | NC | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1184790123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 WRENN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277036532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 12TH ST",
"city": "BUTNER",
"state": "NC",
"postal_code": "275091626",
"telephone_number": "919-575-7927",
"fax_number": "919-575-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "MARLENE",
"middle_name": "JOAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.057069",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "02724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0814533",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Butner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.