Active NPI
Pamela Gale Schiele, PSYD, LP
- Clinical Psychologist
- Minneapolis, MN
National Provider Identifier
1790832764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP4722
- Practice address
- 4530 W 77TH St Ste 200
Minneapolis, MN 55435-5013 - Phone
- (952) 832-5244
- Fax
- (952) 832-5297
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4722 | MN | Primary |
Addresses
Primary practice location
4530 W 77TH St Ste 200
Minneapolis, MN 55435-5013
Mailing address
4530 W 77TH St Ste 200
Minneapolis, MN 55435-5013
Phone (952) 832-5244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP71705 | Other | MN | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4722 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Scott | Current | Accepting new patients | |
| County of Scott | Current | Accepting new patients | |
| County of Scott | Past | Accepting new patients |
Locations
200 4th Ave W
Shakopee, MN 55379
Phone (952) 496-8481
200 4th Ave W
Ste 300
Shakopee, MN 55379
Phone (952) 496-8481
Organizations & group practices 3
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.
-
- Psychologist
- Shakopee, MN
- NPI 1841299443
-
- Public Health or Welfare Agency
- Shakopee, MN
- NPI 1821156183
-
- Community/Behavioral Health Agency
- Shakopee, MN
- NPI 1710047535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790832764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 W 77TH ST STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355013",
"telephone_number": "952-832-5244",
"fax_number": "952-832-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4530 W 77TH ST STE 200",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554355013",
"telephone_number": "952-832-5244",
"fax_number": "952-832-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIELE",
"first_name": "PAMELA",
"middle_name": "GALE",
"name_prefix": "Dr.",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4722",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP71705",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.