THOMAS G SHAFER NPP-BC
NPI 1205195278
Nurse Practitioner - Psychiatric/Mental Health in Brockport, NY

Q: What is Thomas Shafer's NPI number?

The NPI number for Thomas Shafer is 1205195278. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Q: What is Thomas Shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Shafer was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since May 11, 2012

350 NEW CAMPUS DR, SUNY COLLEGE AT BROCKPORT, BROCKPORT, NY 15520(585) 395-2207 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Thomas G Shafer Npp-bc NPPES

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

THOMAS G SHAFER NPP-BC (NPI 1205195278) is an individual psychiatric/mental health provider in Brockport, New York, licensed in New York (401602) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1205195278

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameTHOMAS G SHAFERCredential: NPP-BC

Location Address350 NEW CAMPUS DR, SUNY COLLEGE AT BROCKPORTBrockport, NY 15520

Mailing Address243 Willowbrooke DrBrockport, NY 14420 · (585) 953-6405

Phone(585) 395-2207

Sole ProprietorYes

Enumeration DateMay 11, 2012

Last NPPES UpdateOctober 22, 2014

✔ NPI 1205195278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 401602

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 586940 (NY)

350 NEW CAMPUS DR, Brockport, NY 15520

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Other Identifiers 2

Other401602NY · Nurse Practitioner- Psychiatry License Number

Other586940NY · Rn License

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 Thomas Shafer's NPI number?

The NPI number for Thomas Shafer is 1205195278. It was assigned to this individual provider in the NPPES registry on May 11, 2012.

Where is Thomas Shafer located?

Thomas Shafer practices at 350 New Campus Dr Suny College At Brockport, Brockport, NY 15520. The listed phone number is (585) 395-2207.

What is Thomas Shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Thomas Shafer was last updated on October 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.