Individual provider Active NPI

Michael Bryan Ronald Schmidt, PH.D.

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1639913627
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6351004920APP25 Issued in MI
Practice address
2155 Jackson Ave
Ann Arbor, MI 48103-3976
Phone
(734) 333-7016
NPI assigned
Jun 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6351004920APP25 MI Primary

Addresses

Primary practice location

2155 Jackson Ave
Ann Arbor, MI 48103-3976

Mailing address

2155 Jackson Ave
Ann Arbor, MI 48103-3976
Phone (734) 333-7016

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6351004920APP25MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Michigan Psychological Clinic Psychologist CurrentSince Jul 28, 2024 Accepting new patients
University of Michigan-University Center for the Child and Family CurrentSince Jul 28, 2024 Accepting new patients

Locations

210 S 5th Ave
Ann Arbor, MI 48104
Phone (734) 615-7853

Organizations & group practices 2

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1639913627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033976",
            "telephone_number": "734-333-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 JACKSON AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033976",
            "telephone_number": "734-333-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MICHAEL",
        "middle_name": "BRYAN RONALD",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-24",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6351004920APP25",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.