Julie Anna Schaefer Space, MS, MLLP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

6301007868 Issued in MI

Practice address

402 Thornton St
Middleville, MI 49333-9706

Phone

(269) 795-2243

Fax

(269) 795-5315

NPI assigned

Dec 13, 2006

Last updated

Feb 1, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Shared-Steps Counseling & Consultation Services PC

  • Cognitive & Behavioral Psychologist
  • Middleville, MI
  • NPI 1558635094
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1730240359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 339",
            "address_2": "402 THORNTON STREET",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493334209",
            "telephone_number": "269-795-2243",
            "fax_number": "269-795-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 THORNTON ST",
            "city": "MIDDLEVILLE",
            "state": "MI",
            "postal_code": "493339706",
            "telephone_number": "269-795-2243",
            "fax_number": "269-795-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER SPACE",
        "first_name": "JULIE",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MS, MLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301007868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "157890",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "214526000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pennock Hospital
• Play Grow & Bloom
• Meagan Rainey
• Willliam Royce Richardson
• Alexis Saukas
• Jerinda K Schell, P.A.
• Christine Marie Scott, FNP-C
• Lexi Sensiba
• Shared-Steps Counseling & Consultation Services PC
• Siegel Counseling and Consulting LLC

• Cognitive & Behavioral Psychologist in Middleville, MI
• Providers in Middleville, MI by specialty
• Cognitive & Behavioral Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.