Organization Active NPI

Nicole Schumann PSYD, LP, LLC

  • Multi-Specialty Clinic/Center
  • Burnsville, MN
National Provider Identifier
1811587850
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NICOLE SCHUMANN PSYD, LP, LLC
Doing business as
Schumann Pediatric Psychological Services
Practice address
12400 Portland Ave Ste 120
Burnsville, MN 55337-6817
Phone
(952) 236-6189
Fax
(952) 213-6116
NPI assigned
Jan 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Authorized official

Name
Dr. Nicole M Schumann, PSYDNPI 1861725905
Title
Owner
Phone
(651) 343-0850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12400 Portland Ave Ste 120
Burnsville, MN 55337-6817

Mailing address

12400 Portland Ave Ste 120
Burnsville, MN 55337-6817
Phone (952) 236-6189

Other identifiers 1

IdentifierTypeStateIssuer
1861725905OtherTYPE 1 NPI

Other names 1

  • Schumann Pediatric Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

12400 Portland Ave
Ste 120
Burnsville, MN 55337
Phone (952) 236-6189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611360000000",
    "number": "1811587850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376817",
            "telephone_number": "952-236-6189",
            "fax_number": "952-213-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PORTLAND AVE STE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553376817",
            "telephone_number": "952-236-6189",
            "fax_number": "952-213-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SCHUMANN PSYD, LP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A",
        "authorized_official_last_name": "SCHUMANN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-343-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1861725905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schumann Pediatric Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2021; 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.