Individual provider Active NPI

Thomas Stephen Schutte I, ED. SPEC.

  • School Psychologist
  • Toledo, OH
National Provider Identifier
1891219325
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
21329099 Issued in OH
Practice address
3939 Wrenwood Rd
Toledo, OH 43623-1762
Phone
(419) 473-3442
Fax
(419) 473-3445
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 21329099 OH Primary

Addresses

Primary practice location

3939 Wrenwood Rd
Toledo, OH 43623-1762

Mailing address

3939 Wrenwood Rd
Toledo, OH 43623-1762
Phone (419) 473-3442

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

State licenses

LicenseStateTypeSpecialty
21329099OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1891219325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 WRENWOOD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231762",
            "telephone_number": "419-473-3442",
            "fax_number": "419-473-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 WRENWOOD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436231762",
            "telephone_number": "419-473-3442",
            "fax_number": "419-473-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUTTE",
        "first_name": "THOMAS",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "ED. SPEC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "21329099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.