Jeanne Beth Schroeder, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

895-057 Issued in WI

Practice address

11501 N Port Washington Rd
Suite 210
Mequon, WI 53092-3466

Phone

(262) 241-8901

Fax

(262) 241-8907

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• In Focus Counseling

  • Psychologist
  • Mequon, WI
  • NPI 1437172202
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902829666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 210",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923466",
            "telephone_number": "262-241-8901",
            "fax_number": "262-241-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N PORT WASHINGTON RD",
            "address_2": "SUITE 210",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923466",
            "telephone_number": "262-241-8901",
            "fax_number": "262-241-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JEANNE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "895-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39049800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrice Marie Schnell, RN, BSN, CDE
• Henry J Schnitzler Jr., MD
• Erica Ann Schoenike, APNP
• Megan R. Schrimpf, M.S. CCC-A (AUDIOLOG
• Alexandra Schroeder, DPT
• Patrick M Schroeder
• Kristin M Schroederus, MD
• Andrew Schuelke
• Elizabeth Schuessler, PT, DPT
• Sydnie Schuh, LCSW

• Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.