Healthcare Provider Details

I. General information

NPI: 1326144510
Provider Name (Legal Business Name): SUSAN E. SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 NAPER VL WHEATON RD STE 206H
NAPERVILLE IL
60563-1558
US

IV. Provider business mailing address

3023 BENNETT DR
NAPERVILLE IL
60564-5176
US

V. Phone/Fax

Practice location:
  • Phone: 312-519-9009
  • Fax:
Mailing address:
  • Phone: 312-519-9009
  • Fax: 630-922-6792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number071.004822
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: