Active NPI
Jordan Schueler
- Psychologist
- Bryan, TX
National Provider Identifier
1801555446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2900 E 29TH St
Bryan, TX 77802-2622 - Phone
- (979) 436-0700
- NPI assigned
- Dec 10, 2021
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2900 E 29TH St
Bryan, TX 77802-2622
Mailing address
1550 Crescent Pointe Pkwy Apt 2205
College Station, TX 77845-7391
Phone (772) 323-6093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251201000047 | GA | Order and Referring Only - Other (Non-Physician) | 7416440326 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1801555446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 CRESCENT POINTE PKWY APT 2205",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778457391",
"telephone_number": "772-323-6093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 E 29TH ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022622",
"telephone_number": "979-436-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUELER",
"first_name": "JORDAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.