Healthcare Provider Details

I. General information

NPI: 1992183560
Provider Name (Legal Business Name): LAUREN ASHLEY SCHMIDT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2015
Last Update Date: 04/30/2021
Certification Date: 04/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 GEORGE ST YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY SUITE 901
NEW HAVEN CT
06511-6624
US

IV. Provider business mailing address

PO BOX 100183
GAINESVILLE FL
32610-0183
US

V. Phone/Fax

Practice location:
  • Phone: 203-785-2095
  • Fax:
Mailing address:
  • Phone: 352-392-0140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number82366
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME148546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: