Paul M. Schaefer, M. D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD-037197E Issued in PA

Practice address

4900 Wyalusing Ave
Community Council Health Systems
Philadelphia, PA 19131-5127

Phone

(215) 473-7033

Fax

(215) 878-9199

NPI assigned

Jun 13, 2008

Last updated

Nov 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Temple University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Phila Community Mental Health Consortium, Inc.Group PAC ID 9638072580, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• West Phila Community Mental Health Consortium, Inc.

  dba The Consortium, Inc.

  • Counselor
  • Philadelphia, PA
  • NPI 1194757989
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1942460878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 WYALUSING AVE",
            "address_2": "COMMUNITY COUNCIL HEALTH SYSTEMS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315127",
            "telephone_number": "215-473-7033",
            "fax_number": "215-878-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 WYALUSING AVE",
            "address_2": "COMMUNITY COUNCIL HEALTH SYSTEMS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315127",
            "telephone_number": "215-473-7033",
            "fax_number": "215-878-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFER",
        "first_name": "PAUL",
        "middle_name": "M.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD-037197E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Schadt
• Joelle Schaefer, BCABA
• Joseph William Schaefer, MD
• Kimberly Anne Schaefer, RN
• Laura Schaefer
• William Schaefer, MSW
• William Joseph Schaefer, CO
• Daisey M Schaeffer, P.A.
• Megan Lindsay Schaeffer, PA-C
• Michael Schaeffer, D.P.M.

• Child & Adolescent Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.