Individual provider Active NPI

Norman David Schaffer, PH.D.

  • Clinical Psychologist
  • Merion Station, PA
National Provider Identifier
1932285244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005558L Issued in PA
Practice address
337 Cherry BND
Merion Station, PA 19066-1506
Phone
(610) 715-2655
Fax
(610) 664-5196
NPI assigned
Oct 29, 2006
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005558L PA Primary
Clinical Psychologist 103TC0700X 35SI00304100 NJ

Addresses

Primary practice location

337 Cherry BND
Merion Station, PA 19066-1506

Mailing address

337 Cherry BND
Merion Station, PA 19066-1506
Phone (610) 715-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20090624000558 NJ Practitioner - Clinical Psychologist 9739230103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsville Counseling Associates, L.L.C.Group PAC ID 3971567355, 7 clinicians

Practice addresses (Care Compare)

545 Beckett Rd
Suite 207
Swedesboro, NJ 08085-1512
Phone (856) 467-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35SI00304100NJMDClinical Psychologist
PS005558LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsville Counseling Associates, L.L.C. Clinical CurrentSince May 12, 2009 Accepting new patients

Locations

545 Beckett Rd
Ste 207
Swedesboro, NJ 08085
Phone (856) 467-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932285244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 CHERRY BND",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661506",
            "telephone_number": "610-715-2655",
            "fax_number": "610-664-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 CHERRY BND",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661506",
            "telephone_number": "610-715-2655",
            "fax_number": "610-664-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "NORMAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005558L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00304100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merion Station, PA

Sources for this page

Verify at the official NPI Registry.