Healthcare Provider Details

I. General information

NPI: 1548103658
Provider Name (Legal Business Name): COURTNEY MARIE SCHMIDT PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4725 HAYES RD APT 213
MADISON WI
53704-7331
US

IV. Provider business mailing address

4725 HAYES RD APT 213
MADISON WI
53704-7331
US

V. Phone/Fax

Practice location:
  • Phone: 855-607-8242
  • Fax: 715-848-0425
Mailing address:
  • Phone: 855-607-8242
  • Fax: 715-848-0425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number519657
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: