Ryan Schafer, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP 5870 Issued in MN

Practice address

22340 Old Curry Rd SE
Cass Lake, MN 56633-2994

Phone

(701) 740-4546

NPI assigned

Jan 7, 2016

Last updated

Jan 7, 2016By the provider in NPPES

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Center of Natural Healing, PLLC

  • Chiropractor
  • Park Rapids, MN
  • NPI 1376894014
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1447616362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22340 OLD CURRY RD SE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566332994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22340 OLD CURRY RD SE",
            "city": "CASS LAKE",
            "state": "MN",
            "postal_code": "566332994",
            "telephone_number": "701-740-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "RYAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP 5870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Rogers, RD, LD
• Alan Nelson Rudnick, DPM
• Debra Sue Sahulka, RDH
• Sanford Clinic North (Sanford Bemidji Cass Lake Clinic)
• Paul Robert Schaefer, PHYSICAL THERAPIST
• Steven Schmitz, LPN
• Rita Marie Schuldt, RD, LD
• Bradley Scilley, RN
• Diane Shepherd, REGISTERED NURSE
• Suzanne Sherry, P.T.

• Psychologist in Cass Lake, MN
• Providers in Cass Lake, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.