MARK SCHROEDER MD, LLC (NPI# 1245536853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245536853 |
| Entity Type | Organization |
| Organization Name | MARK SCHROEDER MD, LLC |
| Practice Address |
354 Warrenville Rd Mansfield Center CT 06250-1130 |
| Practice Telephone | 8604559879 |
| Mailing Telephone | 8604559879 |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | DR. MARK SCHROEDER (OWNER) |
| Authorized Official Telephone | 9604559879 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
028905 | CT | Behavioral Health & Social Service Providers |
| Street Address |
354 WARRENVILLE RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699719120 | John Frederick Brown Haney | Psychiatry & Neurology | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-06-15 |
| 1972763100 | Cynthia Herbert Adams | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2008-06-11 |
| 1417011198 | Mark Schroeder | Psychiatry & Neurology | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-12-20 |
| 1285647537 | J. Lynn Stanley-haney | Nurse Practitioner | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464783 | Serenity Behavioral Health and Integrative Medicine | Psychologist | 8 Heartwell Dr, Groton, CT 06340-2873 | 2016-01-11 |
| 1053737965 | Sheryl Lacoursiere LLC | Psychologist | 2 Pomperaug Office Park Ste 105, Southbury, CT 06488-2289 | 2014-03-16 |
| 1992057772 | Willow Treatment & Associates, Inc. | Psychologist | 60 Connolly Parkway; Building 2c-207, Wilbur Cross Commons, Hamden, CT 06514 | 2012-10-04 |
| 1245503705 | Ljudmil Kljusev Md, LLC | Psychologist | 227 Naugatuck Ave, Milford, CT 06460-5540 | 2012-02-14 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| 1437374014 | Jerzy Emil Henisz | Psychologist | 52 West Church Hill Rd, Washington Depot, CT 06794-0414 | 2007-04-17 |
| 1518405059 | Psychiatry Associates of Connecticut | Psychologist | 230 Main Street Ext, Middletown, CT 06457-4470 | 2017-02-04 |
| 1457709818 | Barbara A. Moynihan LLC | Psychologist | 1 S Main St, Branford, CT 06405-3872 | 2016-05-26 |
| 1295905644 | Leonard None Diamond | Psychologist | 29 S Main St, New Milford, CT 06776-3507 | 2008-03-01 |
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.