Individual provider Active NPI

Ariadne Vigelius Schemm, PHD

  • Clinical Child & Adolescent Psychologist
  • Lincoln, NE
National Provider Identifier
1407916521
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
8525 Executive Woods Dr Ste 100
Lincoln, NE 68512-9647
Phone
(402) 489-2218
Fax
(402) 489-3666
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

8525 Executive Woods Dr Ste 100
Lincoln, NE 68512-9647

Mailing address

2225 S 24TH St
Lincoln, NE 68502-4003
Phone (402) 438-2118

Other practice location 1

2300 S 16th St
BryanLGH Medical Center West
Lincoln, NE 68502-3704
Phone (402) 481-4162

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 Philosophy

State licenses

LicenseStateTypeSpecialty
726NEMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1407916521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 S 24TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685024003",
            "telephone_number": "402-438-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EXECUTIVE WOODS DR STE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685129647",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 S 16th St",
            "address_2": "BryanLGH Medical Center West",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685023704",
            "country_code": "US",
            "telephone_number": "402-481-4162",
            "fax_number": "402-481-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHEMM",
        "first_name": "ARIADNE",
        "middle_name": "VIGELIUS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.