Healthcare Provider Details

I. General information

NPI: 1902351125
Provider Name (Legal Business Name): JESSICA SCHNEIDER PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JESSICA HINSHAW PSY.D.

II. Dates (important events)

Enumeration Date: 08/17/2016
Last Update Date: 12/16/2024
Certification Date: 12/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W THOMAS RD STE 315
PHOENIX AZ
85013-4422
US

IV. Provider business mailing address

240 W THOMAS RD # 301
PHOENIX AZ
85013-4407
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-3671
  • Fax:
Mailing address:
  • Phone: 602-406-7765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License Number6301016102
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103TR0400X
TaxonomyRehabilitation Psychologist
License NumberPSY-004785
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: