Holly Elise Evans-Schaeffer, PHD, CAC DIPLOMATE

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS009056L Issued in PA

Practice address

433 Germantown Pike
Second Floor
Lafayette Hill, PA 19444-1815

Phone

(215) 317-2577

Fax

(610) 238-0709

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1750346193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194440304",
            "telephone_number": "215-317-2577",
            "fax_number": "610-238-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 GERMANTOWN PIKE",
            "address_2": "SECOND FLOOR",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194441815",
            "telephone_number": "215-317-2577",
            "fax_number": "610-238-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS-SCHAEFFER",
        "first_name": "HOLLY",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "PHD, CAC DIPLOMATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS009056L",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PS009056L",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS009056L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Lafayette Hill, PA
• Providers in Lafayette Hill, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.