Gerald Schmidt, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1560 Issued in MN

Practice address

600 Reed St
Suite 115
Mankato, MN 56001-6410

Phone

(507) 625-4060

Fax

(507) 625-3915

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Behavioral Psychological Consultants LTD

  dba Riverview Clinic

  • Professional Counselor
  • Mankato, MN
  • NPI 1457304941

  Clinical

  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1629020821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 SHERWOOD CT",
            "city": "NORTH MANKATO",
            "state": "MN",
            "postal_code": "560032823",
            "telephone_number": "507-387-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 REED ST",
            "address_2": "SUITE 115",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016410",
            "telephone_number": "507-625-4060",
            "fax_number": "507-625-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "875748800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP37003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "6259774",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX/BS",
            "identifier": "311T4SC",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "120013",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raeahna Adelia Schauer, PHYSICIAN ASSISTANT
• Julie A Schedivy
• William Scheidt, MD
• Madison Schletty
• Kimberly H Schmalzriedt, CRNA
• Kiersten Schmidt, ATC
• Lynsey Mae Schmidt
• Toya Terese Schmidtke, FNP
• Adam J Schmiesing
• John Schmitt, LPCC

• Clinical Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.