Jeanne Marie Schur, PH.D.,LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP2155 Issued in MN

Practice address

3800 American Blvd W Ste 1500
Bloomington, MN 55431-4429

Phone

(952) 921-5827

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeanne M Schur Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 16, 2017 through Feb 16, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1932317161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 W 70TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392000",
            "telephone_number": "952-921-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 AMERICAN BLVD W STE 1500",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554314429",
            "telephone_number": "952-921-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUR",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "918050800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "SCHUR",
            "middle_name": "M",
            "credential": "PH.D.,LP, INC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Craig Schulz, DC
• Anna Schumacher
• Sally M Schumack, OTR/L
• Jenna Katherine Schunk, M.A., CCC-SLP
• Amber Schupp, M.A., LPCC
• Dale Roth Schurle, MD
• Jonathon Wayne Schwake, M.D.
• Jessica Marie Schwalen
• Kristina Schwartz
• Megan Rae Schwartzbauer, D.D.S.

• Clinical Psychologist in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.