Individual provider Active NPI

Steven Chafetz

  • Psychologist
  • Exton, PA
National Provider Identifier
1235335035
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS002452L Issued in PA
Practice address
835 Springdale Dr
Suite 100
Exton, PA 19341-2841
Phone
(610) 363-1488
Fax
(610) 363-8273
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS002452L PA Primary

Addresses

Primary practice location

835 Springdale Dr
Suite 100
Exton, PA 19341-2841

Mailing address

805 Nottinghill LN
Hamilton, NJ 08619-4010
Phone (610) 363-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235335035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 NOTTINGHILL LN",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086194010",
            "telephone_number": "610-363-1488",
            "fax_number": "610-636-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 SPRINGDALE DR",
            "address_2": "SUITE 100",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412841",
            "telephone_number": "610-363-1488",
            "fax_number": "610-363-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFETZ",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002452L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.