Individual provider Active NPI

Saundra Lee Schoicket, PH.D.

  • Clinical Psychologist
  • Hershey, PA
National Provider Identifier
1487601563
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001973 Issued in GA
Practice address
561 W Chocolate Ave
Hershey, PA 17033-1676
Phone
(717) 534-1808
Fax
(717) 534-6599
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001973 GA Primary

Addresses

Primary practice location

561 W Chocolate Ave
Hershey, PA 17033-1676

Mailing address

1082 Derry Woods Dr
Hummelstown, PA 17036-9715
Phone (717) 534-1808

Other identifiers 2

IdentifierTypeStateIssuer
1033521710001MedicaidPA
00702028AMedicaidGA

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001973GAMDClinical Psychologist
470GAMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1487601563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 DERRY WOODS DR",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369715",
            "telephone_number": "717-534-1808",
            "fax_number": "717-534-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W CHOCOLATE AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331676",
            "telephone_number": "717-534-1808",
            "fax_number": "717-534-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOICKET",
        "first_name": "SAUNDRA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033521710001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00702028A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.