Individual provider Active NPI

Jay L. Schneiders, PH.D., ABPP

  • Clinical Neuropsychologist
  • Englewood, CO
National Provider Identifier
1952365462
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1152 Issued in CO
Practice address
3601 S Clarkson St Ste 530
Englewood, CO 80113-3949
Phone
(720) 587-7173
Fax
(720) 441-0484
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X
Health Service Psychologist 103TH0100X
Clinical Neuropsychologist 103G00000X 1152 CO Primary

Addresses

Primary practice location

3601 S Clarkson St Ste 530
Englewood, CO 80113-3949

Mailing address

3601 S Clarkson St Ste 530
Englewood, CO 80113-3949
Phone (720) 587-7173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20040603001304 CO Practitioner - Clinical Psychologist 9436131323 Practice locations: Englewood, CO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3601 S Clarkson St
Suite 530
Englewood, CO 80113-3949
Phone (303) 697-4086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1152COMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Neuropsychology, PC Past Accepting new patients
William J Bowman MD PC PastSince Apr 26, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1952365462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 530",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133949",
            "telephone_number": "720-587-7173",
            "fax_number": "720-441-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S CLARKSON ST STE 530",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133949",
            "telephone_number": "720-587-7173",
            "fax_number": "720-441-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDERS",
        "first_name": "JAY",
        "middle_name": "L.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.