John Shafer, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301014377 Issued in MI

Practice address

1660 Fort St
Trenton, MI 48183

Phone

(734) 304-4159

NPI assigned

Mar 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psygenics Inc

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1669736104

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1114241585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "734-304-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "48183",
            "telephone_number": "734-304-4159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20382 Van Born Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481253051",
            "country_code": "US",
            "telephone_number": "734-493-2933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Fort St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "48183",
            "country_code": "US",
            "telephone_number": "734-304-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "JOHN",
        "credential": "LLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-15",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301014377",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Elise Scott, PT, DPT
• Ryan Joseph Seaman, D.O.
• Breeanna Selan
• Rebekah Sessoms, D.O.
• Pradeep Setty, D.O.
• Arhum Shahab, DO
• Yazeed Shamieh, DO
• Dakota Stone Shank, DO
• Mackenzie Shepard, DO
• Rebekah Kathryn Sheppard, D.D.S

• Psychologist in Trenton, MI
• Providers in Trenton, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.