Individual provider Active NPI

Kristen Friedrich Schaffner, PHD, NCSP

  • Clinical Child & Adolescent Psychologist
  • Sewickley, PA
National Provider Identifier
1174959761
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
424 Frederick Ave
Sewickley, PA 15143-1523
Phone
(412) 741-4087
NPI assigned
Sep 16, 2013
Last updated
Apr 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X PA Primary
School Psychologist 103TS0200X PA

Addresses

Primary practice location

424 Frederick Ave
Sewickley, PA 15143-1523

Mailing address

424 Frederick Ave
Sewickley, PA 15143-1523
Phone (412) 741-4087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398038400000",
    "number": "1174959761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 FREDERICK AVE",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431523",
            "telephone_number": "412-741-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFNER",
        "first_name": "KRISTEN",
        "middle_name": "FRIEDRICH",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2014-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.