Active NPI
Mary C Schneider, PSY.D.
- Clinical Psychologist
- Mt Prospect, IL
National Provider Identifier
1457388043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-004684
- Practice address
- 101 S Pine St
Suite 2
Mt Prospect, IL 60056-3133 - Phone
- (312) 299-2030
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-004684 | IL | Primary |
Addresses
Primary practice location
101 S Pine St
Suite 2
Mt Prospect, IL 60056-3133
Mailing address
101 S Pine St
Suite 2
Mt Prospect, IL 60056-3133
Phone (312) 299-2030
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627953 | Other | IL | BCBS |
| 472465 | Other | IL | VALUEOPTIONS |
| 01619932 | Other | IL | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-004684 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1457388043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S PINE ST",
"address_2": "SUITE 2",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600563133",
"telephone_number": "312-299-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S PINE ST",
"address_2": "SUITE 2",
"city": "MT PROSPECT",
"state": "IL",
"postal_code": "600563133",
"telephone_number": "312-299-2030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "MARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-004684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01627953",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "472465",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01619932",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Prospect, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.