Kevin Makay Schumacher, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

111 Issued in ND

Practice address

3120 25TH St S Ste Z
#340
Fargo, ND 58103-6164

Phone

(701) 365-4488

Fax

(701) 365-0727

NPI assigned

Sep 7, 2006

Last updated

Mar 9, 2012By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lakeland Mental Health Center IncGroup PAC ID 1759291891, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Lakeland Mental Health Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fergus Falls, MN
  • NPI 1366480287
  Medicare reassignment Care Compare group NPD
• St James of ND, LLC

  • Adult Mental Health Clinic/Center
  • Bismarck, ND
  • NPI 1538463401
  NPD
• Prairie St Johns

  • Psychiatric Hospital
  • Fargo, ND
  • NPI 1417901000
  NPD (past)
• PSJ Acquisition LLC

  dba Prairie St John's

  • Psychiatric Hospital
  • Fargo, ND
  • NPI 1679709802
  NPD (past)
• St Sophie's, LLC

  dba St Sophie's Bismarck

  • Psychiatry Physician
  • Bismarck, ND
  • NPI 1679916621
  NPD (past)
• St. Gabriel's, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1447554316
  NPD (past)
• St. Sophie's, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1336443654
  NPD (past)
• St. Will's, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Fargo, ND
  • NPI 1801190772
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1699878256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 32ND AVE S",
            "address_2": "SUITE 223",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036159",
            "telephone_number": "701-365-4488",
            "fax_number": "701-365-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 25TH ST S STE Z",
            "address_2": "#340",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581036164",
            "telephone_number": "701-365-4488",
            "fax_number": "701-365-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "KEVIN",
        "middle_name": "MAKAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ND",
            "license": "111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16951",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "909550100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shandra Schulz, LCSW
• Callie Jo Schumacher, OTR/L
• Catherine Grace Schumacher, APRN, CNM
• Denise M Schumacher, MD
• Kathleen Schumacher, PT, DPT
• Kirsten Schumacher
• Brinlie Schuman
• Paul Schumm
• Hannah Schur, MS, RDN, LD
• Tatelyn Picabo Schurhamer, PT, DPT

• Clinical Psychologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Clinical Psychologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.

Verify at the official NPI Registry.