Active NPI
Lauren Schaefer, PHD
- Psychologist
- Wilmington, NC
National Provider Identifier
1679190219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 103499
- Practice address
- 322 S College Rd # 1116
Wilmington, NC 28403-1632 - Phone
- (910) 442-8188
- NPI assigned
- Jun 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 103499 | NC | Primary |
Addresses
Primary practice location
322 S College Rd # 1116
Wilmington, NC 28403-1632
Mailing address
322 S College Rd # 1116
Wilmington, NC 28403-1632
Phone (910) 442-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103499 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1679190219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S COLLEGE RD # 1116",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031632",
"telephone_number": "910-442-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S COLLEGE RD # 1116",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284031632",
"telephone_number": "910-442-8188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "LAUREN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "103499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.