JACK B SCHAFFER PHD PA
NPI 1891964086
Clinical Neuropsychologist in Saint Paul, MN

Q: What is Jack B Schaffer Phd PA's NPI number?

The NPI number for Jack B Schaffer Phd PA is 1891964086. It was assigned to this organization in the NPPES registry on February 21, 2008.

Q: What is Jack B Schaffer Phd PA's specialty?

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

Active since February 21, 2008

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

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jack B Schaffer Phd Pa NPPES

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

JACK B SCHAFFER PHD PA (NPI 1891964086) is a healthcare organization registered as a clinical neuropsychologist in Saint Paul, Minnesota and active in the NPI registry since February 2008. The organization lists Jack B Schaffer, President, as its authorized official.

NPPES Registry Identity

NPI1891964086

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameJACK B SCHAFFER PHD PA

Location Address1790 GOODRICH AVESaint Paul, MN 55105-1907

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

Phone(651) 699-4751

Organization SubpartNo

Authorized OfficialJack B SchafferPresident · (651) 699-4751

Enumeration DateFebruary 21, 2008

✔ NPI 1891964086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

1790 GOODRICH AVE, Saint Paul, MN 55105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JACK B. SCHAFFER PH.D.

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 B Schaffer Phd PA's NPI number?

The NPI number for Jack B Schaffer Phd PA is 1891964086. It was assigned to this organization in the NPPES registry on February 21, 2008.

Where is Jack B Schaffer Phd PA located?

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

What is Jack B Schaffer Phd PA'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 B Schaffer Phd PA was last updated on February 21, 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.