Chrystal D Schoeder, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1459 Issued in KY

Practice address

500 N US Highway 89
Northern Arizona VA HCS (Navahcs)
Prescott, AZ 86313

Phone

(859) 948-7158

Fax

(928) 776-6125

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Chrystal D Edge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1740372440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N US HIGHWAY 89",
            "address_2": "NORTHERN ARIZONA VA HCS",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86313",
            "telephone_number": "859-948-7158",
            "fax_number": "928-776-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N US HIGHWAY 89",
            "address_2": "NORTHERN ARIZONA VA HCS (NAVAHCS)",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86313",
            "telephone_number": "859-948-7158",
            "fax_number": "928-776-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOEDER",
        "first_name": "CHRYSTAL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "2005-80",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KY",
            "license": "1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTAL",
            "last_name": "EDGE",
            "middle_name": "D",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Schlosser
• Raymond F. Schmelter, PHD
• Mallorie G. Schmidt
• Terra Dawn Schmidt, ATC/LAT
• David Schmuckler, L.C.S.W.
• Janet Schoen, CNS
• Jordan Marie Schroeder
• Tracy Schrunk, LCSW
• John M Schuderer, LISAC LPC
• Mathew Schuh

• Counseling Psychologist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.