Active NPI
Emily Shafer, ED.S.
- School Psychologist
- Lewis Center, OH
National Provider Identifier
1134520372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- OH3151585
- Practice address
- 814 Shanahan Rd
#100
Lewis Center, OH 43035-9078 - Phone
- (614) 325-6570
- NPI assigned
- Sep 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | OH3151585 | OH | Primary |
Addresses
Primary practice location
814 Shanahan Rd
#100
Lewis Center, OH 43035-9078
Mailing address
7342 Holderman St
Lewis Center, OH 43035-8467
Phone (614) 325-6570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH3151585 | OH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1134520372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7342 HOLDERMAN ST",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430358467",
"telephone_number": "614-325-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 SHANAHAN RD",
"address_2": "#100",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359078",
"telephone_number": "614-325-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "OH3151585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewis Center, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.