Individual provider Active NPI

Stephanie Jill Schacher, PSYD

  • Clinical Psychologist
  • Branford, CT
National Provider Identifier
1497772917
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015115 Issued in NY
Practice address
21 Rice Ter
Suite 313
Branford, CT 06405-3853
Phone
(203) 292-9845
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015115 NY Primary

Addresses

Primary practice location

21 Rice Ter
Suite 313
Branford, CT 06405-3853

Mailing address

123 Saxonwood Rd
Fairfield, CT 06825-2362
Phone (203) 292-9845

Other identifiers 1

IdentifierTypeStateIssuer
02660497MedicaidNY

Other names 1

  • Dr. Stephanie Jill Schacher Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070828001037 CT Practitioner - Clinical Psychologist 1951493402 Practice locations: Fairfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

123 Saxonwood Rd
Fairfield, CT 06825-2362
Phone (203) 292-9845

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SJS Associates CurrentSince Sep 12, 2021 Accepting new patients
Martin H. Klein, PH.D. Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1497772917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SAXONWOOD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252362",
            "telephone_number": "203-292-9845",
            "fax_number": "203-292-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RICE TER",
            "address_2": "SUITE 313",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053853",
            "telephone_number": "203-292-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHER",
        "first_name": "STEPHANIE",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02660497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SCHACHER",
            "middle_name": "JILL",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.