Active NPI
Stephanie Shafer, M.A.
- Psychologist
- Troy, OH
National Provider Identifier
1316349327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- UD1013847
- Practice address
- 2000 W Stanfield Rd
Troy, OH 45373-2572 - Phone
- (937) 339-5100
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | UD1013847 | OH | Primary |
Addresses
Primary practice location
2000 W Stanfield Rd
Troy, OH 45373-2572
Mailing address
4412 Old Salem Rd
Englewood, OH 45322-2638
Phone (937) 339-5100
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UD1013847 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411344000000",
"number": "1316349327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4412 OLD SALEM RD",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "453222638",
"telephone_number": "937-339-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 W STANFIELD RD",
"city": "TROY",
"state": "OH",
"postal_code": "453732572",
"telephone_number": "937-339-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2014-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "UD1013847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.