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Individual provider Active NPI

Micheal Evans Shafer, M.S.

  • Clinical Psychologist
  • Lansing, MI
National Provider Identifier
1750449492
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013318 Issued in MI
Practice address
1200 E Michigan Ave
Suite 630
Lansing, MI 48912-1800
Phone
(517) 362-5130
Fax
(517) 364-5133
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013318 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 630
Lansing, MI 48912-1800

Mailing address

1200 E Michigan Ave
Suite 630
Lansing, MI 48912-1800
Phone (517) 364-5130

Other names 1

  • Micheal Evans Schafer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210226001981 MI Practitioner - Clinical Psychologist 9739594698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates in Rehabilitation PCGroup PAC ID 2860388675, 6 clinicians

Practice addresses (Care Compare)

1210 W Saginaw St
Lansing, MI 48915-1927

1210 W Saginaw St FL
Lansing, MI 48915-1927

1215 E Michigan Ave
Lansing, MI 48912-1811

321 E Harris St
Charlotte, MI 48813-1629

3565 S State Rd
Ionia, MI 48846-9416

3960 Patient Care Dr
Suite 104
Lansing, MI 48911-4276
Phone (517) 887-9801

406 E Elm St
Carson City, MI 48811-9693

805 S Oakland St
Saint Johns, MI 48879-2253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301013318MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jul 31, 2021 Accepting new patients
Psychological Associates in Rehabilitation PC CurrentSince Feb 25, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jul 31, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Psych Services, LTD Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1200 E Michigan Ave
Ste 630
Lansing, MI 48912
Phone (517) 362-5130

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

3960 Patient Care Dr
Ste 104
Lansing, MI 48911
Phone (517) 887-9801

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750449492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 630",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5130",
            "fax_number": "517-364-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 630",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-362-5130",
            "fax_number": "517-364-5133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "MICHEAL",
        "middle_name": "EVANS",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHEAL",
            "last_name": "SCHAFER",
            "middle_name": "EVANS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.