Provider Demographics
NPI:1851388805
Name:SCHNEIDER, MICHAEL A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 ROBERTS HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-4349
Mailing Address - Country:US
Mailing Address - Phone:603-542-8993
Mailing Address - Fax:
Practice Address - Street 1:186 ROBERTS HILL RD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-4349
Practice Address - Country:US
Practice Address - Phone:603-542-8993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH261103TC0700X, 103T00000X, 103TA0700X, 103TC2200X, 103TH0100X, 103TM1800X
NH26231103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2241Medicaid
NH001332OtherCHAMPUS ID
VT062-1025OtherBLUE CROSS ID
NH0602241YONHO1OtherNH BLUE CROSS
NH80002241Medicaid
NHIP312943OtherMAGELLAN
NHNH2241Medicare ID - Type UnspecifiedID
NH80002241Medicaid