Active NPI
Patricia Ann Schiller, PHD
- Clinical Psychologist
- Eufaula, AL
National Provider Identifier
1518958487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 694
- Practice address
- 224 N Randolph Ave
Eufaula, AL 36027-1633 - Phone
- (334) 687-5606
- Fax
- (334) 687-7767
- NPI assigned
- Oct 31, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 694 | AL | Primary |
Addresses
Primary practice location
224 N Randolph Ave
Eufaula, AL 36027-1633
Mailing address
224 N Randolph Ave
Eufaula, AL 36027-1633
Phone (334) 687-5606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000562669B | Medicaid | GA | |
| 000074146 | Medicaid | AL |
Other names 1
- Ms. Patricia Ann Jackson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahtna T' Aene Nene' | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1518958487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 N RANDOLPH AVE",
"city": "EUFAULA",
"state": "AL",
"postal_code": "360271633",
"telephone_number": "334-687-5606",
"fax_number": "334-687-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 N RANDOLPH AVE",
"city": "EUFAULA",
"state": "AL",
"postal_code": "360271633",
"telephone_number": "334-687-5606",
"fax_number": "334-687-7767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLER",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-31",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000562669B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000074146",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "JACKSON",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "PHD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Eufaula, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.