Active NPI
Robert A Schneck, MD
- Psychiatry Physician
- Saint Paul, MN
National Provider Identifier
1932246253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18240
- Practice address
- 408 Saint Peter St
Suite 429
Saint Paul, MN 55102-1130 - Phone
- (651) 224-0614
- Fax
- (651) 224-5754
- NPI assigned
- Jan 30, 2007
- Last updated
- Apr 28, 2011
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18240 | MN | Primary |
Addresses
Primary practice location
408 Saint Peter St
Suite 429
Saint Paul, MN 55102-1130
Mailing address
408 Saint Peter St
Suite 429
Saint Paul, MN 55102-1130
Phone (651) 224-0614
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 872270600 | Medicaid | MN | |
| 260002798 | Other | MN | MEDICARE |
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1932246253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 SAINT PETER ST",
"address_2": "SUITE 429",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021130",
"telephone_number": "651-224-0614",
"fax_number": "651-224-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 SAINT PETER ST",
"address_2": "SUITE 429",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021130",
"telephone_number": "651-224-0614",
"fax_number": "651-224-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNECK",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "18240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "872270600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "260002798",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.