Mark Schroeder MD, LLC

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

028905 Issued in CT

Legal business name

MARK SCHROEDER MD, LLC

Practice address

354 Warrenville Rd
Mansfield Center, CT 06250-1130

Phone

(860) 455-9879

NPI assigned

Jan 28, 2011

Last updated

May 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Schroeder, M.D.NPI 1417011198

Title

Owner

Phone

(960) 455-9879

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Schroeder, M.D. LLC

  • Neurology Physician
  • Mansfield Center, CT
  • NPI 1417011198
  NPD (past) Authorized official
• Cynthia Herbert Adams, PH.D.

  • Counseling Psychologist
  • Mansfield Center, CT
  • NPI 1972763100
  NPD (past)
• John Frederick Brown Haney, M

  • Psychiatry Physician
  • Mansfield Center, CT
  • NPI 1699719120
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1245536853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501130",
            "telephone_number": "860-455-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501130",
            "telephone_number": "860-455-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SCHROEDER MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "960-455-9879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "CT",
            "license": "028905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mansfield CT Dental PLLC
• Mansfield Family Dental
• Mansfield Mental Health and Addiction Medicine
• Mansfield Pediatrics LLC
• Roger G. Marinelli III, LMFT
• Chase Marks
• Amy Elizabeth Marlow, R.N.
• Yvette Martas, M.D.
• Craig Martin, M.D.
• Patrice Larae Martin, LPC

• Prescribing (Medical) Psychologist in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Prescribing (Medical) Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.