Individual provider Active NPI

Brent W Schneider, PHD

  • Counseling Psychologist
  • Manhattan, KS
National Provider Identifier
1902548118
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
03039 Issued in KS
Practice address
2505 Anderson Ave Ste 101
Manhattan, KS 66502-2853
Phone
(785) 236-1180
NPI assigned
Apr 8, 2022
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 03039 KS Primary

Addresses

Primary practice location

2505 Anderson Ave Ste 101
Manhattan, KS 66502-2853

Mailing address

2505 Anderson Ave Ste 101
Manhattan, KS 66502-2853
Phone (785) 236-1180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220804001360 KS Practitioner - Clinical Psychologist 0446632624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Hills Neuropsychology, LLCGroup PAC ID 3375717606, 3 clinicians

Practice addresses (Care Compare)

512 Poyntz Ave
Suite 110
Manhattan, KS 66502-6040
Phone (785) 236-1180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03039KSMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Hills Neuropsychology, LLC Multi-Specialty CurrentSince Aug 22, 2022 Accepting new patients
Megan Oetinger Psy.D., LLC Multi-Specialty Past Accepting new patients

Locations

2505 Anderson Ave
Ste 101
Manhattan, KS 66502
Phone (785) 236-1180

512 Poyntz Ave
Ste 110
Manhattan, KS 66502
Phone (785) 236-1180

Organizations & group practices 2

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1902548118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE STE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 ANDERSON AVE STE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022853",
            "telephone_number": "785-236-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "BRENT",
        "middle_name": "W",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "03039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.