Active NPI
Robert E Schaffer-Neitz, MS, CCC-SLP
- Speech-Language Pathologist
- Northumberland, PA
National Provider Identifier
1205061983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL005590L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SL005590L | PA | MD | Speech-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.