Organization Active NPI

Charles a. Schaefer, PH.D., Inc.

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1427081561
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2103 Issued in NC
Legal business name
CHARLES A. SCHAEFER, PH.D., INC.
Doing business as
CHARLES A. SCHAEFER, PH.D.
Practice address
4001 Kismet Dr
Durham, NC 27705-2837
Phone
(919) 357-7203
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Dr. Charles A. Schaefer, PH.D.NPI 1245431113
Title
Owner
Phone
(919) 357-7203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2103 NC Primary

Addresses

Primary practice location

4001 Kismet Dr
Durham, NC 27705-2837

Mailing address

4001 Kismet Dr
Durham, NC 27705-2837
Phone (919) 357-7203

Other names 1

  • CHARLES A. SCHAEFER, PH.D. Doing business as

National Provider Directory

National Provider Directory

Locations

1709 Legion Rd
Ste 225
Chapel Hill, NC 27517
Phone (919) 357-7204

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1427081561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KISMET DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052837",
            "telephone_number": "919-357-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KISMET DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052837",
            "telephone_number": "919-357-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A. SCHAEFER, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-357-7203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHARLES A. SCHAEFER, PH.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.