Individual provider Active NPI

Shaylee Schroeder, PSY D

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1972340412
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1135 Issued in NE
Practice address
2001 Pine Lake Rd Ste 200
Lincoln, NE 68512-3604
Phone
(402) 261-8313
NPI assigned
Jul 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1135 NE Primary

Addresses

Primary practice location

2001 Pine Lake Rd Ste 200
Lincoln, NE 68512-3604

Mailing address

1900 K St Apt 312
Lincoln, NE 68510-1059
Phone (308) 367-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250303002241 NE Practitioner - Psychologist Billing Independently 7618498908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shaylee Schroeder Psy D LLC Clinical CurrentSince Jan 8, 2025 Accepting new patients

Locations

2001 Pine Lake Rd
Ste 200
Lincoln, NE 68512
Phone (402) 261-8313

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.

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1972340412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 K ST APT 312",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101059",
            "telephone_number": "308-367-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PINE LAKE RD STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123604",
            "telephone_number": "402-261-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "SHAYLEE",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "1135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.