David William Schafer, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11271 Issued in MA

Practice address

10 Concord Ave
Cambridge, MA 02138-2322

Phone

(617) 852-8390

NPI assigned

Feb 22, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 16, 2024 through Apr 16, 2028

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1053633784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 MAIN ST",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086481046",
            "telephone_number": "310-617-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONCORD AVE",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382322",
            "telephone_number": "617-852-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Boylston St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021163305",
            "country_code": "US",
            "telephone_number": "617-852-8390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "DAVID",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-22",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE NUMBER",
            "identifier": "11271",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Fuda Scanlon, RN
• Penina Schacht, M.S, CCC-SLP
• Travis Schaefer, DO
• Catherine Schaeffer, CNP
• Tyler Schaeffer, MD
• Jamie Beth Schaffer
• Schatzki Associates Inc.
• Stephanie Schechter, PSY.D.
• Alexandra Scheman, LCSW
• Bret Schermerhorn, LMHC

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.