DR. JACK B. SCHAFFER PH.D.
NPI 1568473569
Clinical Neuropsychologist in Saint Paul, MN

Q: What is Jack Schaffer's NPI number?

The NPI number for Jack Schaffer is 1568473569. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Jack Schaffer's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Schaffer was last updated on November 15, 2007. 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.

Active since August 11, 2006

1790 GOODRICH AVE, SAINT PAUL, MN 55105(651) 699-4751(651) 699-0826 Get Directions Write a Review

NPPES record last updated: November 15, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Jack B. Schaffer Ph.d. NPPES

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

DR. JACK B. SCHAFFER PH.D. (NPI 1568473569) is an individual clinical neuropsychologist in Saint Paul, Minnesota, licensed in Minnesota (LP0311) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1568473569

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JACK B. SCHAFFERCredential: PH.D.

Location Address1790 GOODRICH AVESaint Paul, MN 55105-1907

Mailing Address1790 Goodrich AveSaint Paul, MN 55105-1907 · (651) 699-4751 · Fax (651) 699-0826

Phone(651) 699-4751

Fax(651) 699-0826

Sole ProprietorYes

Enumeration DateAugust 11, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1568473569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in MN · LP0311

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP0311 (MN)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License LP0311 (MN)

1790 GOODRICH AVE, Saint Paul, MN 55105

Open in Google Maps ↗

Other Identifiers 1

Medicaid4313086MN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACK B SCHAFFER PHD PA

Clinical Neuropsychologist

1790 GOODRICH AVE
SAINT PAUL, MN 55105

Ramsey County (651) 699-4751

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 Jack Schaffer's NPI number?

The NPI number for Jack Schaffer is 1568473569. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jack Schaffer located?

Jack Schaffer practices at 1790 Goodrich Ave, Saint Paul, MN 55105. The listed phone number is (651) 699-4751.

What is Jack Schaffer's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Jack Schaffer was last updated on November 15, 2007. 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.