Individual provider Active NPI

Scott Bryan Schaeffer, PHD

  • Psychologist
  • Chesterfield, MO
National Provider Identifier
1649243387
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY2002030470 Issued in MO
Practice address
14377 Woodlake Dr
Suite 308
Chesterfield, MO 63017
Phone
(314) 576-6493
Fax
(314) 576-7319
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY2002030470 MO Primary

Addresses

Primary practice location

14377 Woodlake Dr
Suite 308
Chesterfield, MO 63017

Mailing address

14377 Woodlake Dr
Suite 308
Chesterfield, MO 63017
Phone (314) 576-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20150112001632 MO Practitioner - Clinical Psychologist 5395069876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Health LLCGroup PAC ID 3375920861, 22 clinicians
One Behavioral of MissouriGroup PAC ID 6204313364, 19 clinicians

Practice addresses (Care Compare)

4905 Mexico Rd
Suite 400
Saint Peters, MO 63376-1601
Phone (314) 590-3721

5000 Cedar Plaza Pkwy
Suite 320
Saint Louis, MO 63128-3841
Phone (314) 200-1366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY2002030470MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Health LLC CurrentSince May 1, 2023 Accepting new patients
One Behavioral of Missouri CurrentSince Jan 1, 2026 Accepting new patients
St. Louis Internal Medicine Inc PastSince May 1, 2023 Accepting new patients

Locations

11709 Old Ballas Rd
Ste 104
Saint Louis, MO 63141
Phone (314) 329-2036

5000 Cedar Plaza Pkwy
Ste 320
Saint Louis, MO 63128
Phone (669) 900-9251

11709 Old Ballas Rd
Ste 105
Saint Louis, MO 63141
Phone (314) 200-1366

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649243387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR",
            "address_2": "SUITE 308",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-576-6493",
            "fax_number": "314-576-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR",
            "address_2": "SUITE 308",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-576-6493",
            "fax_number": "314-576-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "SCOTT",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PSY2002030470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.