Active NPI
Edward J Schau, PH.D.
- Clinical Psychologist
- Seattle, WA
National Provider Identifier
1902953664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY00000503
- Practice address
- 12349 Roosevelt Way NE
Suite 101
Seattle, WA 98125-4852 - Phone
- (206) 365-3808
- Fax
- (206) 367-4115
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY00000503 | WA | Primary |
Addresses
Primary practice location
12349 Roosevelt Way NE
Suite 101
Seattle, WA 98125-4852
Mailing address
12349 Roosevelt Way NE
Suite 101
Seattle, WA 98125-4852
Phone (205) 365-3808
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5520398 | Other | WA | AETNA |
| 125661 | Other | WA | VALUE OPTIONS |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00000503 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1902953664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12349 ROOSEVELT WAY NE",
"address_2": "SUITE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254852",
"telephone_number": "205-365-3808",
"fax_number": "206-367-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12349 ROOSEVELT WAY NE",
"address_2": "SUITE 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254852",
"telephone_number": "206-365-3808",
"fax_number": "206-367-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAU",
"first_name": "EDWARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY00000503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5520398",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "125661",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.