Active NPI
Andrea Schrock, ED.S SCHOOL PSYCHOLO
- School Psychologist
- Durand, IL
National Provider Identifier
1437635919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 655637
- Practice address
- 200 W South St
Durand, IL 61024-9403 - Phone
- (815) 821-1575
- NPI assigned
- Jul 17, 2018
- Last updated
- Jul 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 655637 | IL | Primary |
Addresses
Primary practice location
200 W South St
Durand, IL 61024-9403
Mailing address
103 N Bailey Ave
Freeport, IL 61032-3703
Phone (815) 821-1575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 655637 | Other | IL | ILLINOIS STATE BOARD OF EDUCATION |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655637 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1437635919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 N BAILEY AVE",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610323703",
"telephone_number": "815-821-1575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W SOUTH ST",
"city": "DURAND",
"state": "IL",
"postal_code": "610249403",
"telephone_number": "815-821-1575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROCK",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "ED.S SCHOOL PSYCHOLO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "655637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS STATE BOARD OF EDUCATION",
"identifier": "655637",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durand, IL
- Medina Nursing Center, Inc
- Medina Nursing Center, Inc
- Mindful Meadows Counseling PLLC
- Jade Murawski
- Emily Rachel Rahoy, MA, LCPC, LPC, NCC
- The Monroe Clinic, Inc. (SSM Health Monroe Medical Group DME Durand)
- The Sycamore Tree LLC
- Amy Joan Uebelhoer, M.S.CCC-SLP
- Timothy K Urquhart, RN, BSN
- Toni S. Wasson, MS/LCPC/LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.