Healthcare Provider Details

I. General information

NPI: 1215842257
Provider Name (Legal Business Name): CAMERON SCHIDLMEIER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 DARRINGTON DR
RAYNHAM MA
02767-1593
US

IV. Provider business mailing address

600 SOUTH ST W # 1024
RAYNHAM MA
02767-5171
US

V. Phone/Fax

Practice location:
  • Phone: 617-379-0496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAMERON SCHIDLMEIER
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: DNP, PMHNP-BC
Phone: 617-379-0496