JACK PHILLIP SCHAEFER (NPI# 1053336149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053336149 |
| Entity Type | Individual |
| Full Name | JACK PHILLIP SCHAEFER |
| Practice Address |
4313 W Markham St Little Rock AR 72205-4023 |
| Practice Telephone | 5016869406 |
| Practice Fax Number | 5016869276 |
| Mailing Telephone | 5016869406 |
| Mailing Fax Number | 5016869276 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
94-30P | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144279415 | Jack Daniel Schaefer | Acupuncturist | 565 E South Boulder Rd, Louisville, CO 80027-1329 | 2006-05-06 |
| Street Address |
4313 W MARKHAM ST |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726156 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4096 | 2005-10-31 |
| 1780712448 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4023 | 2007-03-02 |
| 1194826677 | Rickey C Gray | Psychiatry & Neurology | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-09-26 |
| 1891808630 | State of Arkansas | Psychiatric Hospital | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-08-16 |
| 1902821093 | Michael Jay Simon | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-12 |
| 1215952379 | John R Anderson | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-12 |
| 1952326001 | Charles Hays Mallory | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-12 |
| 1053345066 | Rebecca Brewer Spohn | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-10 |
| 1194757641 | April Coe Hout | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-07 |
| 1255363743 | Ron E Faupel | Psychologist | 4313 W Markham St, Little Rock, AR 72205-4023 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043630734 | The Sage Center for Trauma and Wellness, Pllc | Psychologist | 2725 Cantrell Rd Ste 105, Little Rock, AR 72202-2044 | 2014-04-21 |
| 1134468895 | Brian Anderson | Psychologist | 1100 N University Ave Ste 108, Little Rock, AR 72207-6356 | 2013-01-31 |
| 1427300532 | Joy R. Pemberton | Psychologist | 4301 W. Markham, #554, Psychiatric Research Institute, Uams, Little Rock, AR 72205 | 2012-10-12 |
| 1548577521 | Laura Jane Gambone Nobles | Psychologist | 2723 Foxcroft Rd Ste 202a, Little Rock, AR 72227-6522 | 2010-09-11 |
| 1083858005 | George K. Simon Jr. | Psychologist | 1 Innwood Cir Ste 124, Little Rock, AR 72211-2448 | 2009-04-21 |
| 1730356825 | Tisha Lee Deen | Psychologist | 2723 Foxcroft Rd Ste 202, Little Rock, AR 72227-6522 | 2008-05-08 |
| 1205000403 | Meagan Rae Mcpherson | Psychologist | 10515 W Markham St Ste E3, Little Rock, AR 72205-2139 | 2008-04-17 |
| 1366635518 | Daniel John Broderick | Psychologist | 5 Chalamont Ct, Little Rock, AR 72223-5511 | 2007-08-21 |
| 1881894806 | Tracie L. Pasold | Psychologist | 800 Marshall St # 512-9, Dept. of Pediatrics, Section of Adolescent Medicine, Little Rock, AR 72202-3510 | 2007-07-18 |
| 1306976477 | Clinical Psychology Services, Inc. | Psychologist | 18 Corporate Hill Dr Ste 205, Little Rock, AR 72205-4541 | 2007-03-06 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on JACK PHILLIP SCHAEFER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.