Active NPI
David E Schaeffer, D.O.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1780603654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4647
- Practice address
- 4909 E McDowell Rd
Phoenix, AZ 85008-9770 - Phone
- (602) 302-7770
- Fax
- (602) 629-0601
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DOS-944 | HI | |
| Psychiatry Physician | 2084P0800X | 4647 | AZ | Primary |
Addresses
Primary practice location
4909 E McDowell Rd
Phoenix, AZ 85008-9770
Mailing address
4909 E McDowell Rd
Phoenix, AZ 85008-7735
Phone (602) 302-7770
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-944 | HI | MD | Psychiatry Physician |
| 4647 | AZ | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1780603654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087735",
"telephone_number": "602-302-7770",
"fax_number": "602-629-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 E MCDOWELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850089770",
"telephone_number": "602-302-7770",
"fax_number": "602-629-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFFER",
"first_name": "DAVID",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "DOS-944",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "4647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.