Kathryn C Shafer PHD PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW2276 Issued in FL

Legal business name

KATHRYN C SHAFER PHD PA

Practice address

675 W Indiantown Rd Ste 100
Jupiter, FL 33458-7555

Phone

(561) 799-6789

Fax

(561) 575-7545

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Kathryn C Shafer, PHDNPI 1225078975

Title

Owner

Phone

(561) 799-6789

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn C. Shafer, PH.D.

  • Clinical Social Worker
  • Jupiter, FL
  • NPI 1225078975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1194976308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD STE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587555",
            "telephone_number": "561-799-6789",
            "fax_number": "561-575-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W INDIANTOWN RD STE 100",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587555",
            "telephone_number": "561-799-6789",
            "fax_number": "561-575-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN C SHAFER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-799-6789",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karni Kissil PH.D LLC
• Eliana Karr, PA-C
• Karuna Wellness LLC
• Anwer Kashif, M.D.
• Kate Dominique Kasperski, PA-C
• Arthur Herman Katz, MD
• Barbara Katz
• Beth Katz, PH.D.
• Steven Jay Katz, MD
• Marc A. Kaufman, MD

• Clinical Social Worker in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.