Individual provider Active NPI

Wendy S Schroeder, MA

  • School Psychologist
  • Joliet, IL
National Provider Identifier
1821710179
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
185380 Issued in IL
Practice address
402 Richards St
Joliet, IL 60433-2218
Phone
(815) 727-5271
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TS0200X 185380 IL Primary

Addresses

Primary practice location

402 Richards St
Joliet, IL 60433-2218

Mailing address

402 Richards St
Joliet, IL 60433-2218
Phone (815) 727-5271

Other identifiers 1

IdentifierTypeStateIssuer
185380MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wschroeder@joliet86.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
185380ILMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1821710179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RICHARDS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332218",
            "telephone_number": "815-727-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RICHARDS ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604332218",
            "telephone_number": "815-727-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "185380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185380",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wschroeder@joliet86.org",
            "affiliation": "N",
            "endpointDescription": "School Email",
            "address_1": "402 Richards St",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604332218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.