John Dean Schroeder, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11026 Issued in CA

Practice address

589 Main St
Suite a
Placerville, CA 95667-5604

Phone

(530) 621-4890

Fax

(530) 621-2425

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John Schroeder Trust Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295835437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 MAIN ST",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675604",
            "telephone_number": "530-621-4890",
            "fax_number": "530-621-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "589 MAIN ST",
            "address_2": "SUITE A",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675604",
            "telephone_number": "530-621-4890",
            "fax_number": "530-621-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JOHN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SCHROEDER TRUST",
            "credential": "PSYCHOLOGIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alexandria Marie Schick
• Noel Elizabeth Schienle, LPN
• John Schlund, MD
• Autumn Schmidt, SUDRC
• Stephanie J Schmidt
• David Gene Schultz, D.D.S.
• Mark Schwartzmeyer, D.C.
• Deborah S. Schwieger II
• June Celese Scofield, D.C.
• Scott C Hale Doctor of Chiropractics a Professional Corp

• Clinical Psychologist in Placerville, CA
• Providers in Placerville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.