Individual provider Active NPI

Sarah Kimzey Schaffer, PH.D.

  • Clinical Psychologist
  • North Platte, NE
National Provider Identifier
1942356894
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
675 Issued in NE
Practice address
220 W Leota St
Suite 200
North Platte, NE 69101-6293
Phone
(308) 534-4872
Fax
(308) 532-0389
NPI assigned
Jan 25, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 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 675 NE Primary

Addresses

Primary practice location

220 W Leota St
Suite 200
North Platte, NE 69101-6293

Mailing address

220 W Leota St
Suite 200
North Platte, NE 69101-6293
Phone (308) 534-4872

Other identifiers 2

IdentifierTypeStateIssuer
81132OtherNEBLUE CROSS & BLUE SHIELD
10025443100MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20070219000626 NE Practitioner - Clinical Psychologist 0042312274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Medicine Associates LLCGroup PAC ID 9032110705, 2 clinicians

Practice addresses (Care Compare)

306 W 4TH St
North Platle, NE 69101-3828
Phone (308) 534-4872

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
675NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Associates LLC Clinical CurrentSince Nov 1, 2006 Accepting new patients

Locations

220 W Leota St
Ste 200
North Platte, NE 69101
Phone (308) 534-4872

306 W 4th St
North Platte, NE 69101
Phone (308) 532-0991

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1942356894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W LEOTA ST",
            "address_2": "SUITE 200",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016293",
            "telephone_number": "308-534-4872",
            "fax_number": "308-534-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W LEOTA ST",
            "address_2": "SUITE 200",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016293",
            "telephone_number": "308-534-4872",
            "fax_number": "308-532-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFER",
        "first_name": "SARAH",
        "middle_name": "KIMZEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "81132",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025443100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.