Individual provider Active NPI

Eden Joy Schmeichel, PH.D.

  • Clinical Psychologist
  • College Station, TX
National Provider Identifier
1881619823
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32980 Issued in TX
Practice address
408 Tarrow St
College Station, TX 77840-7811
Phone
(979) 218-5797
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 32980 TX Primary

Addresses

Primary practice location

408 Tarrow St
College Station, TX 77840-7811

Mailing address

408 Tarrow St
College Station, TX 77840-7811
Phone (979) 218-5797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000146 TX Practitioner - Clinical Psychologist 5395749394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aap - Psychology PLLCGroup PAC ID 1153361613, 3 clinicians

Practice addresses (Care Compare)

408 Tarrow St
College Station, TX 77840-7811
Phone 9792681111812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32980TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aap - Psychology PLLC CurrentSince Aug 28, 2008 Accepting new patients
Deer Oaks Mental Health Associates PC Clinical Past Accepting new patients
Long Term Care Services, LP Clinical Past Accepting new patients

Locations

408 Tarrow St
College Station, TX 77840
Phone (979) 218-5797

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881619823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 TARROW ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778407811",
            "telephone_number": "979-218-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 TARROW ST",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778407811",
            "telephone_number": "979-218-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMEICHEL",
        "first_name": "EDEN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.