Individual provider Active NPI

Roger G Schmidt, PH.D.

  • Psychologist
  • Dayton, OH
National Provider Identifier
1740483031
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P6785 Issued in OH
Practice address
88TH Medical Group/Mdos
4881 Sugar Maple Dr.
Dayton, OH 45433-5529
Phone
(937) 713-1244
NPI assigned
Jun 6, 2007
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P6785 OH Primary
Clinical Psychologist 103TC0700X 6785 OH
Assistant Behavior Analyst 106E00000X

Addresses

Primary practice location

88TH Medical Group/Mdos
4881 Sugar Maple Dr.
Dayton, OH 45433-5529

Mailing address

88TH Medical Group/Mdos
4881 Sugar Maple Drive
Apo, AP 45433
Phone (937) 713-1244

Other practice location 1

18th Medical Group
Unit 5142
Apo, AP 96368-5142
Phone (098) 930-4817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P6785OHMDPsychologist
6785OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC Psychologist CurrentSince Jul 1, 2022 Accepting new patients

Locations

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3120 Burnet Ave
Ste 406
Cincinnati, OH 45229
Phone (513) 584-8600

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

Interoperability endpoints

  • Direct secure messaging: rschmidt456657@direct.uchealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1740483031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "88TH MEDICAL GROUP/MDOS",
            "address_2": "4881 SUGAR MAPLE DRIVE",
            "city": "APO",
            "state": "AP",
            "postal_code": "45433",
            "telephone_number": "937-713-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88TH MEDICAL GROUP/MDOS",
            "address_2": "4881 SUGAR MAPLE DR.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-713-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18th Medical Group",
            "address_2": "Unit 5142",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142",
            "country_code": "US",
            "telephone_number": "098-930-4817",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "ROGER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P6785",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6785",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.