Mr. Jason C Schickedanz
Mr. Jason C Schickedanz is a Clinical Psychologist in Chubuck, Idaho. Qualified in 2015, 11 years ago. Practices with T Help, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 11
- Licensed in
- ID
- In the registry since
- 2010
Practice location Address checks out
4737 Afton Pl Sanctuary Ntc Ste #AChubuck, ID 83202
Phone: (208) 417-0623
Fax: (208) 417-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence PSY-203074 (ID) |
|---|
Record details
| NPI number | 1295041630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2010 |
| Last updated in NPPES | February 27, 2023 |
| Certification date | February 27, 2023 |
| Mailing address | 4737 Afton Pl. Sanctuary Ntc, Ste #A, Chubuck, ID 83202 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2015 (11 years in practice) |
| Group practice | T Help — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |