Active NPI
Lowell B Schneiderman, PHD
- Clinical Psychologist
- Festus, MO
National Provider Identifier
1598901548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- R0451
- Practice address
- 807 Collins Dr
Festus, MO 63028-2346 - Phone
- (636) 931-4206
- Fax
- (636) 931-5774
- NPI assigned
- Dec 22, 2008
- Sex
- Male
- 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 | R0451 | MO | Primary |
Addresses
Primary practice location
807 Collins Dr
Festus, MO 63028-2346
Mailing address
PO Box 217
Herculaneum, MO 63048-0217
Phone (636) 931-4206
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0451 | MO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Psychiatric Services | Past | 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.
-
- Psychiatry Physician
- Sullivan, MO
- NPI 1457303877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229904000000",
"number": "1598901548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "HERCULANEUM",
"state": "MO",
"postal_code": "630480217",
"telephone_number": "636-931-4206",
"fax_number": "636-931-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 COLLINS DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282346",
"telephone_number": "636-931-4206",
"fax_number": "636-931-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDERMAN",
"first_name": "LOWELL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-22",
"last_updated": "2008-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "R0451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.