Mary Schaffer, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P.5034 Issued in OH

Practice address

6817 Kirkwood Dr
Mentor, OH 44060-4205

Phone

(440) 972-0454

Fax

(440) 972-0459

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Peter Arian LLCGroup PAC ID 5193167112, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

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.

• Peter Arian LLC

  • Psychologist
  • Cleveland, OH
  • NPI 1184324287
  Medicare reassignment Care Compare group NPD
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment
• Schaffer Psychological Services

  • Psychologist
  • Mentor, OH
  • NPI 1629242417
  NPD (past) Authorized official
• Kaitlyn Cassidy LLC

  • Mental Health Counselor
  • Cleveland, OH
  • NPI 1538932785
  NPD
• Greater Cleveland Psychological Services, Inc.

  • Clinical Social Worker
  • Strongsville, OH
  • NPI 1932267168
  NPD (past)
• Psychology Consultants Inc

  • Clinical Social Worker
  • Medina, OH
  • NPI 1205882941
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1679501563",
    "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": "440-477-6392"
        },
        {
            "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": {
        "last_name": "SCHAFFER",
        "first_name": "MARY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5034",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.5034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1629242417",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Saywell
• Elizabeth Schaefer, LSW
• Deanna Leigh Schaeffer
• Kelli Dawn Schafer, RPH
• Schaffer Psychological Services
• Richard Schenkelberg, M.D.
• Eli Daniel Scher, DO
• Kayla Schinke
• Clare Schirmer, OTD, OTR/L
• Scott David Schlachter, LISW

• 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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.