Mark Schroeder, M.D. LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

028905 Issued in CT

Practice address

354 Warrenville Rd
Mansfield Center, CT 06250-1130

Phone

(860) 455-9879

NPI assigned

Dec 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark Schroeder MD, LLC

  • Prescribing (Medical) Psychologist
  • Mansfield Center, CT
  • NPI 1245536853
  NPD (past) Authorized official
• Natchaug Hospital, Inc.

  • Psychiatric Hospital
  • Mansfield Center, CT
  • NPI 1295811321
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1417011198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N BIGELOW RD",
            "city": "HAMPTON",
            "state": "CT",
            "postal_code": "062471405",
            "telephone_number": "860-455-0068"
        },
        {
            "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": {
        "last_name": "SCHROEDER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D. LLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "028905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Sanzaro, LMSW
• Jose Luis Scarpa, RPH
• Julia Scarpellino, LPC
• Carla Wilhelmina Schnitzlein, D.O.
• Jonathan Scott Schreiber, LMFT
• Kimberly Shirk, LPC
• Alexandra Silvestros
• David L Simon, M.D., J.D.
• Johnathan A Simpson, MA
• Morgan Siniscalco, BCBA

• Neurology Physician in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.