Healthcare Provider Details

I. General information

NPI: 1952466740
Provider Name (Legal Business Name): WILLIAM LOUIS SCHNEIDER NP-C, RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 CENTRAL ST
SOMERVILLE MA
02143-2827
US

IV. Provider business mailing address

26 CENTRAL ST
SOMERVILLE MA
02143-2827
US

V. Phone/Fax

Practice location:
  • Phone: 617-591-6454
  • Fax: 617-591-6405
Mailing address:
  • Phone: 617-591-6454
  • Fax: 617-591-6405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number202114
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number202114
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF0898362
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: