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DR. PATRICIA B SHAFER PH.D.
NPI 1013194885
Counselor - Mental Health in Evanston, IL

Active since January 23, 2008Opted out of Medicare · through Nov 3, 2027
1609 SHERMAN AVE STE 304, EVANSTON, IL 60201(847) 475-7355 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Patricia B Shafer Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICIA B SHAFER PH.D. (NPI 1013194885) is an individual mental health provider in Evanston, Illinois and active in the NPI registry since January 2008. She has opted out of Medicare through November 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013194885
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. PATRICIA B SHAFERCredential: PH.D.
Location Address1609 SHERMAN AVE STE 304Evanston, IL 60201-5013
Mailing Address1609 Sherman Ave Ste 304Evanston, IL 60201-5013 · (847) 475-7355
Phone(847) 475-7355
Sole ProprietorYes
Enumeration DateJanuary 23, 2008
✔ NPI 1013194885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1609 SHERMAN AVE STE 304, Evanston, IL 60201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Patricia B Shafer Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 3, 2015 through November 3, 2027.

Opt-Out Effective DateNovember 3, 2015
Opt-Out In Effect ThroughNovember 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Shafer's NPI number?

The NPI number for Patricia Shafer is 1013194885. It was assigned to this individual provider in the NPPES registry on January 23, 2008.

Where is Patricia Shafer located?

Patricia Shafer practices at 1609 Sherman Ave Ste 304, Evanston, IL 60201. The listed phone number is (847) 475-7355.

What is Patricia Shafer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Patricia Shafer enrolled in Medicare?

No. Patricia Shafer has opted out of Medicare through November 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Patricia Shafer was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.