MR. JASON C SCHICKEDANZ
NPI 1295041630
Psychologist in Chubuck, ID

Active since August 24, 2010PECOS EnrolledAccepts Medicare Assignment
4737 AFTON PL. SANCTUARY NTC, STE #A, CHUBUCK, ID 83202(208) 417-0623(208) 417-0641 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jason C Schickedanz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JASON C SCHICKEDANZ (NPI 1295041630) is an individual psychologist in Chubuck, Idaho, licensed in Idaho (PSY-203074) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295041630
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. JASON C SCHICKEDANZ
Location Address4737 AFTON PL. SANCTUARY NTC, STE #AChubuck, ID 83202
Mailing Address4737 Afton Pl. Sanctuary Ntc, Ste #aChubuck, ID 83202 · (208) 417-0623 · Fax (208) 417-0641
Fax(208) 417-0641
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2010
Last NPPES UpdateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1295041630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in ID · PSY-203074
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4737 AFTON PL. SANCTUARY NTC, Chubuck, ID 83202

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Jason C Schickedanz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799112249
PECOS Enrollment IDI20200224001604
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Schickedanz's NPI number?

The NPI number for Jason Schickedanz is 1295041630. It was assigned to this individual provider in the NPPES registry on August 24, 2010.

Where is Jason Schickedanz located?

Jason Schickedanz practices at 4737 Afton Pl. Sanctuary Ntc Ste #a, Chubuck, ID 83202. The listed phone number is (208) 417-0623.

What is Jason Schickedanz's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jason Schickedanz enrolled in Medicare?

Yes. Jason Schickedanz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Schickedanz accept?

Health plans from Select Health list Jason Schickedanz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Schickedanz was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.