Schaffer Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5034 Issued in OH

Legal business name

SCHAFFER PSYCHOLOGICAL SERVICES

Practice address

6817 Kirkwood Dr
Mentor, OH 44060-4205

Phone

(440) 972-0454

Fax

(440) 972-0459

NPI assigned

Apr 14, 2008

Last updated

Jun 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary V Schaffer, PH.DNPI 1679501563

Title

Owner/Psychologist

Phone

(440) 972-0454

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Schaffer, PH.D.

  • Psychologist
  • Mentor, OH
  • NPI 1679501563
  NPD (past) Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1629242417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "GRAND RIVER",
            "state": "OH",
            "postal_code": "440450570",
            "telephone_number": "440-972-0454",
            "fax_number": "440-972-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 KIRKWOOD DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440604205",
            "telephone_number": "440-972-0454",
            "fax_number": "440-972-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAFFER PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SCHAFFER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-972-0454",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9733",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236935",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679501563",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly J Saylor
• Kelsey Saywell
• Elizabeth Schaefer, LSW
• Deanna Leigh Schaeffer
• Kelli Dawn Schafer, RPH
• Mary Schaffer, PH.D.
• Richard Schenkelberg, M.D.
• Eli Daniel Scher, DO
• Kayla Schinke
• Clare Schirmer, OTD, OTR/L

• Psychologist in Mentor, OH
• Providers in Mentor, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.