Provider Demographics
NPI:1659014504
Name:SCHMIDT, AVERY J (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:AVERY
Middle Name:J
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8123 CASTLETON RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2006
Mailing Address - Country:US
Mailing Address - Phone:317-777-1034
Mailing Address - Fax:255-877-4349
Practice Address - Street 1:432 S EMERSON AVE STE 300
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1949
Practice Address - Country:US
Practice Address - Phone:317-777-1034
Practice Address - Fax:855-277-4349
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2024-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71015032A363LP0808X
IN28223146A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse