MARY SCHAFFER (PH.D.) – Psychologist, NPI 1679501563

MARY SCHAFFER (PH.D.) is a healthcare provider. based in Grand river, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 5034 (OH). The NPI Number for MARY SCHAFFER (PH.D.) is 1679501563

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
MARY SCHAFFER (PH.D.)
NPI
1679501563
Phone
(440) 477-6392
Address
PO BOX 570
Enumeration Date
29 June 2006
Last Update Date
4 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2163152609
Graduation Year
1989 (37 years ago)
PAC ID
4385549765
Group Practice PAC ID
5193167112
Professional Enrollment ID
I20031208000879
Address ID
OH441133726CL3500XAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for MARY SCHAFFER (PH.D.)

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GRAND RIVER, OH 440450570

    Phone: (440) 477-6392

    Type: Mailing

  • 6817, Kirkwood Drive, Mentor Acres, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440604205

    Phone: (440) 972-0454

    Fax: (440) 972-0459

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1012 days ago).

Enrollment records

1

Earliest due date

2023-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031208000879IClinical PsychologistOH2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour17313$0
90834Psychotherapy, 45 minutes6613$0
View full utilization report →

Insurance plans in this area (ZIP 44045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193167112View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical PsychologistOH
Clinical Social WorkerOH
Marriage And Family TherapistOH
Mental Health CounselorOH

Reviews

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Frequently asked questions

What number should I use to identify MARY SCHAFFER (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1679501563 for MARY SCHAFFER (PH.D.).
Is MARY SCHAFFER (PH.D.)'s NPI status active today?
Active status means MARY SCHAFFER (PH.D.)'s NPI record is not deactivated in the public file.
What services align with MARY SCHAFFER (PH.D.)'s listing?
MARY SCHAFFER (PH.D.)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit MARY SCHAFFER (PH.D.) in Grand River, Ohio?
For routing, start with Grand River, Ohio for MARY SCHAFFER (PH.D.), then verify phone and hours locally.
Who maintains MARY SCHAFFER (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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