JOHN SHAFER (NPI# 1114241585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114241585 |
| Entity Type | Individual |
| Full Name | JOHN SHAFER |
| Credential | LLP |
| Practice Address |
1660 Fort St Trenton MI 48183 |
| Mailing Address |
1660 Fort St Trenton MI 48183-2003 |
| Practice Telephone | 7343044159 |
| Mailing Telephone | 7343044159 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2019-07-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301014377 | MI | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
6301014377 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20382 Van Born Rd, Dearborn Heights, MI 481253051 | 7344932933 | |
| 1660 Fort St, Trenton, MI 48183 | 7343044159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152956 | John C Shafer | Dentist | 1100 Pacific Coast Hwy, Ste C, Hermosa Beach, CA 90254-3951 | 2005-05-30 |
| 1811287246 | John Daniel Shafer Jr. | Audiologist-Hearing Aid Fitter | 400 N Loop 1604 E, Suite 210, San Antonio, TX 78232-1258 | 2011-04-19 |
| 1669548228 | John F Shafer | Marriage & Family Therapist | 499 Loma Alta Ave, Los Gatos, CA 95030-6227 | 2006-11-27 |
| 1942397682 | John E Shafer | Social Worker | 31 Thurber Dr, Waterloo, NY 13165-1600 | 2006-10-06 |
| Street Address |
1660 FORT ST |
| City | TRENTON |
| State | MI |
| Zip Code | 48183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047252 | Holly Marie Flynn | Speech-Language Pathologist | 1660 Fort St, Trenton, MI 48183-2003 | 2020-09-15 |
| 1073131199 | Rebecca Caban | Speech-Language Pathologist | 1660 Fort St, Trenton, MI 48183-2003 | 2020-07-07 |
| 1649893694 | Tina M Leggs | Counselor | 1660 Fort St, Trenton, MI 48183-2003 | 2020-05-26 |
| 1477175420 | Jaycie Marie Giordano | Social Worker | 1660 Fort St, Trenton, MI 48183-2003 | 2020-05-13 |
| 1568081347 | Tiffany Ann Tomsha | Occupational Therapy Assistant | 1660 Fort St, Trenton, MI 48183-2003 | 2020-04-13 |
| 1063031961 | Reem Farhat | Social Worker | 1660 Fort St, Trenton, MI 48183-2003 | 2020-04-10 |
| 1245878685 | Rachel Dianne Kern | Psychologist | 1660 Fort St, Trenton, MI 48183-2003 | 2019-12-17 |
| 1831736966 | Matthew Schneider | Behavior Technician | 1660 Fort St, Trenton, MI 48183-2003 | 2019-12-09 |
| 1093363913 | Chelsea Faith Hodgkinson | Behavior Technician | 1660 Fort St, Trenton, MI 48183-2003 | 2019-09-04 |
| 1477021657 | Janette Mae Potter | Psychologist | 1660 Fort St, Trenton, MI 48183-2003 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869324 | Tonya Saint Onge | Physical Therapy Assistant | Applewood Nursing Center, 18500 Van Horn Rd., Woodhaven, MI 48183 | 2019-09-09 |
| 1326568635 | Samantha Nicole Steffen | Behavior Technician | 3244 Concord, Trenton, MI 48183 | 2017-06-27 |
| 1225567688 | Nicholas Michael Abdallah | Dentist | 21080 Allen Road, Woodhaven, MI 48183 | 2017-06-08 |
| 1265823041 | Sherry A Dees Lmsw Acsw LLC | Counselor | 23933 Allen Road, Suite 3, Woodhaven, MI 48183 | 2015-02-14 |
| 1720480825 | Marlo Brazier | Technician, Other | 226000 West Rd, Apt 108, Trenton, MI 48183 | 2014-09-19 |
| 1679902597 | Henry Ford Wyandotte Hospital | Dietitian, Registered | 1640 Fort Street, Suite D Attn Denise, Trenton, MI 48183 | 2013-11-02 |
| 1548605116 | Kay Vonne Cason Psy Pllc | Psychologist | 19366 Allen Rd Ste. D, Brownstown, MI 48183 | 2013-05-08 |
| 1891031118 | Mazin K Dds PC | Dentist | 22319 King Rd, Woodhaven, MI 48183 | 2012-12-13 |
| 1982871026 | Anthony G Gray | Physical Therapist | 20059 King Road, Woodhaven, MI 48183 | 2008-05-08 |
| 1700069481 | Emmd Health Pllc | Hospitalist | 22319 Crestwood, Woodhaven, MI 48183 | 2007-12-17 |
| Find all providers in zip 48183 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205282571 | Lindsay Oram | Psychologist | 616 Nw Highway 146, Trenton, MO 64683-7501 | 2016-05-05 |
| 1104947795 | Robert Dewitt Lewis Jr. | Psychologist | 320 W State St, Trenton, NJ 08618-5704 | 2007-04-02 |
| 1265559702 | Akbolton Pllc | Psychologist | 2242 W Jefferson Ave Ste A, Trenton, MI 48183-2275 | 2007-03-22 |
| 1881614386 | Ellen R. Fink, Psy.d., P.C. | Psychologist | 363 Hamilton Ave, Trenton, NJ 08609-2716 | 2006-07-20 |
| 1245878685 | Rachel Dianne Kern | Psychologist | 1660 Fort St, Trenton, MI 48183-2003 | 2019-12-17 |
| 1316463680 | Luis Raul Nieves | Psychologist | 1301 Whitehorse Mercerville Rd, Trenton, NJ 08619-3826 | 2017-08-18 |
| 1083017032 | Matthew D Schmitt | Psychologist | 3458 Neely Rd, Trenton, NJ 08641-5312 | 2014-10-06 |
| 1841533213 | Gina Marie Dematteo | Psychologist | 1660 Fort St, Trenton, MI 48183 | 2013-04-03 |
| 1275784621 | Courtney Elyse Cummings | Psychologist | 13570 N Main St, Trenton, GA 30752-2012 | 2008-10-03 |
| 1407985021 | Ellen R Fink | Psychologist | 363 Hamilton Ave, Trenton, NJ 08609-2716 | 2007-03-02 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.