Active NPI
Michael John Schafer, M.S.
- Behavior Analyst
- Pompano Beach, FL
National Provider Identifier
1295005346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-084
- Practice address
- 2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565 - Phone
- (888) 880-9270
- NPI assigned
- Jan 6, 2012
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-084 | LA | Primary |
Addresses
Primary practice location
2708 NE 14TH St
Suite 5
Pompano Beach, FL 33062-3565
Mailing address
330 Polk St
New Orleans, LA 70124-2925
Phone (404) 543-4897
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 |
|---|---|---|---|
| L-084 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Shepherd Behavioral Supports, LLC | Behavior Analyst | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Covington, LA
- NPI 1891466603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1295005346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 POLK ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701242925",
"telephone_number": "404-543-4897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 NE 14TH ST",
"address_2": "SUITE 5",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330623565",
"telephone_number": "888-880-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-06",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.