Individual provider Active NPI

John Steven Scheffler, PSY.D.

  • Clinical Psychologist
  • Frankfort, IL
National Provider Identifier
1144376641
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
21316 Brown Dr
Frankfort, IL 60423-9454
Phone
(630) 673-1872
Fax
(815) 469-4276
NPI assigned
Jan 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X IL Primary

Addresses

Primary practice location

21316 Brown Dr
Frankfort, IL 60423-9454

Mailing address

21316 Brown Dr
Frankfort, IL 60423-9454
Phone (815) 464-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000572 IL Practitioner - Clinical Psychologist 0840371977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Behavioral Health Services,LLC Clinical CurrentSince Nov 23, 2007 Accepting new patients

Locations

310 Banbury Rd
North Aurora, IL 60542
Phone (630) 892-7627

16450 S 97th Ave
Orland Park, IL 60467
Phone (708) 403-6500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1144376641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21316 BROWN DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239454",
            "telephone_number": "815-464-0071",
            "fax_number": "815-469-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21316 BROWN DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239454",
            "telephone_number": "630-673-1872",
            "fax_number": "815-469-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEFFLER",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.