Active NPI
Harold Schroeder, PHD
- Psychologist
- Mansfield, OH
National Provider Identifier
1962411975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1142
- Practice address
- 111 S Diamond St
Mansfield, OH 44902-7510 - Phone
- (330) 672-3787
- NPI assigned
- Aug 7, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1142 | OH | Primary |
Addresses
Primary practice location
111 S Diamond St
Mansfield, OH 44902-7510
Mailing address
7234 Dillman Dr
Hudson, OH 44236-2410
Phone (330) 672-3787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000299579 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0282911 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harold Schroeder PHD & Associates | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Mansfield, OH
- NPI 1164431151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962411975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7234 DILLMAN DR",
"city": "HUDSON",
"state": "OH",
"postal_code": "442362410",
"telephone_number": "330-672-3787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S DIAMOND ST",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449027510",
"telephone_number": "330-672-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHROEDER",
"first_name": "HAROLD",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "1142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000299579",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0282911",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.