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MARK SCHROEDER MD LLC NPI 1245536853


NPI Information

NPI: 1245536853
Provider Name: MARK SCHROEDER MD, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
354 WARRENVILLE RD
MANSFIELD CENTER, CT
ZIP 06250
Phone: (860) 455-9879
Get Directions

MARK SCHROEDER MD, LLC is a prescribing (medical) psychologist in Mansfield Center, CT. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. MARK SCHROEDER MD, LLC NPI is 1245536853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

354 WARRENVILLE RD
MANSFIELD CENTER, CT
ZIP 06250-130
Phone: (860) 455-9879

The provider's authorized official is Mark Schroeder .
The authorized official title is Owner and has the following contact phone number (960) 455-9879.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 5/21/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)028905CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D300020756MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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