Physician Compare National (NPI:1710968631)

HEALTHCARE PROVIDER: PAUL A. SCHNEIDER PH.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710968631
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3072705797
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101012001364
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHNEIDER
	Individual professional last name
Provider First Name	PAUL
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Primary Specialty	PSYCHOLOGIST, CLINICAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	6320 LATONA CT
	Group Practice or individual's line 1 address
City	INDIANAPOLIS
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	462781991
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3172914882
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y