Michael Douglas Schafer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5210 Issued in OH

Practice address

3745 Shawnee Rd
Suite 105
Lima, OH 45806-1657

Phone

(419) 999-2024

Fax

(419) 999-2024

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Dakota Professional Corp

  • Clinical Psychologist
  • Lima, OH
  • NPI 1083667828
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1295759256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 SHAWNEE RD",
            "address_2": "SUITE 105",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061657",
            "telephone_number": "419-999-2024",
            "fax_number": "419-999-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 SHAWNEE RD",
            "address_2": "SUITE 105",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458061657",
            "telephone_number": "419-999-2024",
            "fax_number": "419-999-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Christine Sayre-Penix, OTR/L
• Ryan Mitchell Scarborough
• Scci Hospitals of America, LLC
• Lisa A Schaaf, RPH
• Elizabeth Ann Schaefer
• Jennifer Lyn Schaub, STNA
• Lisa Scheib, CNP
• Paul H Scheiwiller, DO
• Andrea R Schiele
• Jessica M Schierloh, PA-C

• Clinical Psychologist in Lima, OH
• Providers in Lima, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.