Jennifer Suzanne Schwanberg, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4005 Issued in MN

Practice address

1900 Centracare Circle
Ste 2350
St Cloud, MN 56303

Phone

(320) 229-4918

Fax

(320) 229-5177

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1376593178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 6TH ST SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014675",
            "telephone_number": "320-235-4613",
            "fax_number": "855-625-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CENTRACARE CIRCLE",
            "address_2": "STE 2350",
            "city": "ST CLOUD",
            "state": "MN",
            "postal_code": "56303",
            "telephone_number": "320-229-4918",
            "fax_number": "320-229-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWANBERG",
        "first_name": "JENNIFER",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "4005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "733513000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Rose Schutz, MSW, LICSW
• Janet D Schwab, CNM
• Leisa Marie Schwab
• Linda Ann Schwab, RN
• Tessy Schwab
• Stephanie Anne Schwanberg
• Emily Suzanne Dold Schwartz, O.D.
• Erin Schwarzkopf, RN
• Nichole Schwarzrock
• Kimberly Susan Schwegel, LPN

• Clinical Psychologist in St Cloud, MN
• Providers in St Cloud, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.