Active NPI
Daniel Charles Schroeder, RN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 200850118NP
- Practice address
- 21210 NW Mauzey Rd
Hillsboro, OR 97124-9327 - Phone
- (503) 439-9531
- Fax
- (503) 531-3841
- NPI assigned
- Aug 16, 2007
- Last updated
- Oct 15, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200850118NP | OR | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN00168895 | WA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 200642744RN | OR |
Addresses
Primary practice location
21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Mailing address
PO Box 82819
Portland, OR 97282-0819
Phone (503) 233-5405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21210 NW Mauzey Rd
Hillsboro, OR 97124-9327
Phone (503) 439-9531
8280 NE Mauzey CT
Hillsboro, OR 97124-9092
Phone (503) 439-9531
880 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515
890 82ND Dr
Gladstone, OR 97027-1803
Phone (503) 659-5515
890 SE
82ND
Gladstone, OR 97027-1803
Phone (503) 659-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200642744RN | OR | MD | Adult Psychiatric/Mental Health Registered Nurse |
| RN00168895 | WA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychological and Counseling Services LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services PC | Past | Accepting new patients |
Locations
880 82nd Dr
Gladstone, OR 97027
Phone (503) 626-9494
21210 NW Mauzey Rd
Hillsboro, OR 97124
Phone (503) 439-9531
8280 NE Mauzey Ct
Hillsboro, OR 97124
Phone (503) 439-9531
Interoperability endpoints
- lifestancehealth.danielschroeder@148835.advancedmd-direct.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
OR
-
dba LifeStance Health
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
-
- Counselor
- Hillsboro, OR
- NPI 1811430663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1598957110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82819",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972820819",
"telephone_number": "503-233-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21210 NW MAUZEY RD",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971249327",
"telephone_number": "503-439-9531",
"fax_number": "503-531-3841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "DANIEL",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "RN, PMHNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-16",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "200850118NP",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "WA",
"license": "RN00168895",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "OR",
"license": "200642744RN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164936",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.