Individual provider Active NPI

Robert E Schaffer-Neitz, MS, CCC-SLP

  • Speech-Language Pathologist
  • Northumberland, PA
National Provider Identifier
1205061983
Registry record updated May 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL005590L Issued in PA
Practice address
194 Orange St
Northumberland, PA 17857-1632
Phone
(570) 473-2923
NPI assigned
May 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL005590L PA Primary

Addresses

Primary practice location

194 Orange St
Northumberland, PA 17857-1632

Mailing address

194 Orange St
Northumberland, PA 17857-1632
Phone (570) 473-2923

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SL005590LPAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1243123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243123200000",
    "number": "1205061983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 ORANGE ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178571632",
            "telephone_number": "570-473-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 ORANGE ST",
            "city": "NORTHUMBERLAND",
            "state": "PA",
            "postal_code": "178571632",
            "telephone_number": "570-473-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER-NEITZ",
        "first_name": "ROBERT",
        "middle_name": "E",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-24",
        "last_updated": "2009-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL005590L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northumberland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.