MADALYN R SCHNEIDER (PHD) – Clinical Psychologist, NPI 1164902201

MADALYN R SCHNEIDER (PHD) is a healthcare provider. based in Saint louis, Missouri. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 2018029947 (MO). The NPI Number for MADALYN R SCHNEIDER (PHD) is 1164902201

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MADALYN R SCHNEIDER (PHD)
NPI
1164902201
Phone
(314) 289-9408
Address
1129 MACKLIND AVE
Enumeration Date
17 August 2018
Last Update Date
17 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6365329180
Graduation Year
2014 (12 years ago)
PAC ID
7113277211
Group Practice PAC ID
3173428638
Professional Enrollment ID
I20180911003467
Address ID
MO630174778CH16216RDXX395
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

449 CLINICAL PSYCHOLOGIST in MO

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Provider Addresses for MADALYN R SCHNEIDER (PHD)

  • 1129-1135, Macklind Avenue, Kings Oak, Gratiot, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631101440

    Phone: (314) 289-9408

    Fax: (314) 289-9414

    Type: Mailing

  • Baxter Road, Chesterfield, Saint Louis County, Missouri, 63005, United States

    CHESTERFIELD, MO 630174778

    Phone: (636) 532-9188

    Fax: (314) 289-9414

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180911003467IClinical PsychologistMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173428638View full group profile
NameSpecialtyState
Nurse PractitionerMO
Clinical PsychologistMO
Clinical Social WorkerMO
Clinical PsychologistSC
-MO
P S Y C H I A T R YMO
Clinical Social WorkerMO
-MO
Clinical Social WorkerMO
P S Y C H I A T R YMO

Reviews

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Frequently asked questions

Can I use this page to confirm MADALYN R SCHNEIDER (PHD)'s NPI?
Yes. MADALYN R SCHNEIDER (PHD) is listed with NPI 1164902201 in the public NPI dataset.
Is MADALYN R SCHNEIDER (PHD) listed as active for patients and plans?
The listing shows MADALYN R SCHNEIDER (PHD) as active in the NPI system.
What is MADALYN R SCHNEIDER (PHD)'s primary classification?
Clinical Psychologist is the headline specialty for MADALYN R SCHNEIDER (PHD) here. Clinical services aligned with this taxonomy classification.
Where should I expect MADALYN R SCHNEIDER (PHD) on a map?
Expect Saint Louis, Missouri as a primary anchor for MADALYN R SCHNEIDER (PHD) unless the record lists multiple sites.
Is the information about MADALYN R SCHNEIDER (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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