Healthcare Provider Details

I. General information

NPI: 1043251127
Provider Name (Legal Business Name): REX SCHMIDT PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10535 HOSPITAL WAY
MATHER CA
95655-4200
US

IV. Provider business mailing address

6514 GOYA WAY
EL DORADO HILLS CA
95762-5265
US

V. Phone/Fax

Practice location:
  • Phone: 800-982-8387
  • Fax:
Mailing address:
  • Phone: 402-980-3436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number514
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: