MEDICARE: SCHNEIDER PSYCHOLOGICAL & BEHAVIORAL SERVICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1801305578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCHNEIDER PSYCHOLOGICAL & BEHAVIORAL SERVICE

Provider Business Mailing Address
First Line	:	14525 HIGHWAY 7 STE 355
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-3747
Country	:	US
Telephone Number	:	612-356-2756
Fax Number	:	612-712-9214

Provider Business Practice Location Address
First Line	:	14525 HIGHWAY 7 STE 355
Second Line	:
City	:	MINNETONKA
State	:	MN
Zip	:	55345-3734
Country	:	US
Telephone Number	:	651-356-2756
Fax Number	:	612-712-9214

Authorized Official
Title or Position	:	CEO
Name	:	DR. BRET PETER SCHNEIDER
Credential	:	PSYD, LP
Telephone Number	:	612-356-2756

Provider Enumeration Date	:	09/26/2017
Last Update Date	:	03/05/2026

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