Angela Jean Schroedle, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

332257 Issued in WI

Practice address

101 Vernon Ave
Panama City Beach, FL 32407-7018

Phone

(850) 636-7000

NPI assigned

Dec 31, 2015

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 names 1

• Angela Jean Mattison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1962867283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 FRONT BEACH RD",
            "address_2": "UNIT 7307",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VERNON AVE",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324077018",
            "telephone_number": "850-636-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDLE",
        "first_name": "ANGELA",
        "middle_name": "JEAN",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "332257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "MATTISON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Psychologist in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.