Individual provider Active NPI

Barbara W Shaffer, PH.D.

  • Psychologist
  • Chadds Ford, PA
National Provider Identifier
1144423286
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P-005890-L Issued in PA
Practice address
512 Kennett Pike
Ste 100
Chadds Ford, PA 19317-7306
Phone
(610) 388-2233
Fax
(610) 388-2163
NPI assigned
Jun 6, 2007
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P-005890-L PA Primary

Addresses

Primary practice location

512 Kennett Pike
Ste 100
Chadds Ford, PA 19317-7306

Mailing address

PO Box 222
Mendenhall, PA 19357-0222
Phone (610) 388-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190802000159 PA Practitioner - Clinical Psychologist 8022206309 Practice locations: Chadds Ford, PA; Jenkintown, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

512 Kennett Pike
Suite 100
Chadds Ford, PA 19317-7306
Phone (610) 388-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P-005890-LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara W. Shaffer PH.D. & Associates Psychologist PastSince Sep 21, 2006 Accepting new patients
Diane Langberg PHD & Martha D Langberg Associates Psychologist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1144423286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "MENDENHALL",
            "state": "PA",
            "postal_code": "193570222",
            "telephone_number": "610-388-2233",
            "fax_number": "610-388-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 KENNETT PIKE",
            "address_2": "STE 100",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "193177306",
            "telephone_number": "610-388-2233",
            "fax_number": "610-388-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "BARBARA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "P-005890-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadds Ford, PA

Sources for this page

Verify at the official NPI Registry.