Edward Phillip Schmitt Jr., PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006888 Issued in MI

Practice address

1362 Baldwin St
Jenison, MI 49428-8937

Phone

(616) 901-3696

NPI assigned

May 12, 2006

Last updated

May 21, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Dr Edward Schmitt and Dr Marie McKay

  • Clinical Psychologist
  • Jenison, MI
  • NPI 1194400960
  NPD Authorized official
• Dr. Edward P Schmitt, PLLC

  • Adult Mental Health Clinic/Center
  • Jenison, MI
  • NPI 1598514028
  NPD Authorized official
• Dr. Marie a McKay PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jenison, MI
  • NPI 1225887789
  NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1811947385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 CAPRICE DR",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289582",
            "telephone_number": "616-901-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 BALDWIN ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494288937",
            "telephone_number": "616-901-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "EDWARD",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "680G011630",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorinda J Sabisch, M. ED.
• Megan Sarvis
• Eleanor Scarozza
• Schaefer Dental Group - Grand Rapids, PLLC
• Emily Schipper, MD
• Carla Marie Schmitz, LMSW
• Hannah Schultheiss
• Amy Joy Schultz, M.A., CCC-SLP
• Gordon Dale Schultze, O.D.
• Bruce A Seitz, DDS

• Clinical Psychologist in Jenison, MI
• Providers in Jenison, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.