Individual provider Active NPI

Lois Schafer, PHD

  • Clinical Psychologist
  • Clinton Township, MI
National Provider Identifier
1962584615
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008020 Issued in MI
Practice address
42627 Garfield Rd
Suite 216-C
Clinton Township, MI 48038-5032
Phone
(586) 246-5164
Fax
(844) 621-4391
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301008020 MI
Clinical Psychologist 103TC0700X 6301008020 MI Primary
Clinical Child & Adolescent Psychologist 103TC2200X 6301008020 MI

Addresses

Primary practice location

42627 Garfield Rd
Suite 216-C
Clinton Township, MI 48038-5032

Mailing address

42627 Garfield Rd
Suite 216-C
Clinton Township, MI 48038-5032
Phone (586) 246-5164

Other identifiers 5

IdentifierTypeStateIssuer
143624OtherMIPRIORITY HEALTH
P111686OtherMIBLUE CROSS NETWORK OF MI
11409OtherMIM-CARE
680E04600OtherMIBLUE CROSS BLUE SHEILD MI
G2157173OtherMIVALUE OPTIONS

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 Philosophy

State licenses

LicenseStateTypeSpecialty
6301008020MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lois Schafer PHD & Associates, L.L.C. Psychologist 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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1962584615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42627 GARFIELD RD",
            "address_2": "SUITE 216-C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385032",
            "telephone_number": "586-246-5164",
            "fax_number": "844-621-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42627 GARFIELD RD",
            "address_2": "SUITE 216-C",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480385032",
            "telephone_number": "586-246-5164",
            "fax_number": "844-621-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301008020",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008020",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301008020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "143624",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NETWORK OF MI",
            "identifier": "P111686",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "11409",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MI",
            "identifier": "680E04600",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "G2157173",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.