Henry D. Schneider, PH.D., LCSW, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

000600 Issued in MO

Legal business name

HENRY D. SCHNEIDER, PH.D., LCSW, INC.

Practice address

2804 Forum Blvd
3A
Columbia, MO 65203-6322

Phone

(573) 446-6290

Fax

(573) 446-0618

NPI assigned

Dec 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Henry D Schneider, PH.D., LCSWNPI 1346329430

Title

Licensed Clinical Social Worker

Phone

(573) 446-6290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry David Schneider, PH.D., LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1346329430
  Medicare reassignment NPD Authorized official
• Jessica Back, LCSW

  • Clinical Social Worker
  • Columbia, MO
  • NPI 1346658465
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1215230602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-6290",
            "fax_number": "573-446-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 FORUM BLVD",
            "address_2": "3A",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036322",
            "telephone_number": "573-446-6290",
            "fax_number": "573-446-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY D. SCHNEIDER, PH.D., LCSW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "573-446-6290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "000600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "756819504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Suzanne Hendrickson
• Julie Hendrix, PLPC
• Henley Health LLC
• Christy M Henley, D.C.
• Samuel Thomas Henley, D.C.
• Julia Michelle Henry
• Lawrence D. Henry, M.D.
• Matthew D Henry, MD
• Nicole Annette Henry
• Terrence Errol Anthoney Henry, M.D

• Mental Health Clinic/Center (Including Community Mental Health Center) in Columbia, MO
• Providers in Columbia, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.