Active NPI
Kathleen E Schroeder, PSY.D.
- Clinical Psychologist
- Florence, AZ
National Provider Identifier
1548757412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4665
- Practice address
- 4374 E Butte Ave.
Florence, AZ 85132-8513 - Phone
- (520) 868-0201
- NPI assigned
- Apr 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071009016 | IL | |
| Clinical Psychologist | 103TC0700X | 4665 | AZ | Primary |
Addresses
Primary practice location
4374 E Butte Ave.
Florence, AZ 85132-8513
Mailing address
890 E la Costa PL
Chandler, AZ 85249-6947
Phone (630) 362-0452
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 |
|---|---|---|---|
| 4665 | AZ | MD | Clinical Psychologist |
| 071009016 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1548757412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 E LA COSTA PL",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852496947",
"telephone_number": "630-362-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4374 E BUTTE AVE.",
"city": "FLORENCE",
"state": "AZ",
"postal_code": "851328513",
"telephone_number": "520-868-0201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "KATHLEEN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071009016",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Florence, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.