Mark Schmidt, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32937 Issued in TX

Practice address

6308 Ferncreek LN
Fort Worth, TX 76179-4701

Phone

(817) 368-9799

NPI assigned

Jun 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401753600000",
    "number": "1760895130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 136156",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761360156",
            "telephone_number": "817-368-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 FERNCREEK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761794701",
            "telephone_number": "817-368-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Douglas Schmidt, DO
• Debra Lyn Schmidt, APRN
• Katherine Schmidt, PA-C
• Kristin Marie Schmidt, AU.D.
• Madelyn Schmidt
• Robert H Schmidt, MD
• Susan Elaine Schmidt, M.D.
• Alishia Lindsay Schmitt, PT, DPT
• Monika Emily Schmitt, DO
• Bettye Jill Schmitz, LVN

• Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.