Active NPI
Jack Henry Schneller Jr., PH.D.
- School Psychologist
- Deland, FL
National Provider Identifier
1881664449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SS833
- Practice address
- 1109 W Euclid Ave
Deland, FL 32720-6553 - Phone
- (386) 943-9040
- Fax
- (386) 943-9937
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS833 | FL | Primary |
Addresses
Primary practice location
1109 W Euclid Ave
Deland, FL 32720-6553
Mailing address
2259 S Spring Garden Ave
Deland, FL 32720-4472
Phone (386) 747-1351
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SS833 | FL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881664449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2259 S SPRING GARDEN AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327204472",
"telephone_number": "386-747-1351",
"fax_number": "386-943-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 W EUCLID AVE",
"city": "DELAND",
"state": "FL",
"postal_code": "327206553",
"telephone_number": "386-943-9040",
"fax_number": "386-943-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNELLER",
"first_name": "JACK",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.