DR. THOMAS RAUBY SHAFFER (NPI# 1770749442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770749442 |
| Entity Type | Individual |
| Full Name | DR. THOMAS RAUBY SHAFFER |
| Credential | PH.D. |
| Practice Address |
1310 Main Ave S Suite 9 Brookings SD 57006-3819 |
| Mailing Address |
Po Box 931 Brookings SD 57006-0931 |
| Practice Telephone | 6056926367 |
| Practice Fax Number | 6056921883 |
| Mailing Telephone | 6056950651 |
| Mailing Fax Number | 6056921883 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2014-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 472 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6552660 | 05 | |
| MEDICARE PTAN/ID | S102729 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689203747 | Thomas E Shaffer | Occupational Therapist | 73 E Forrest Ave Ste 210, Shrewsbury, PA 17361-1400 | 2020-04-02 |
| 1861789604 | Thomas Shaffer | Counselor | 1615 Polo Rd, Winston Salem, NC 27106-3831 | 2011-06-30 |
| 1275573230 | Thomas W Shaffer | Psychologist | 5151 N Palm Ave, Ste #980, Fresno, CA 93704 | 2006-06-07 |
| Street Address |
1310 MAIN AVE S SUITE 9 |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023368016 | Brookings Neuropsychology Services | Clinical Neuropsychologist | 928 4th St, Suite 6, Brookings, SD 57006-2171 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245327477 | Neuropsychology Consultants LLC | Clinical Neuropsychologist | 1500 W 51st St, Suite 105, Sioux Falls, SD 57105-6643 | 2006-10-09 |
| 1265483515 | Eleni Muntz | Clinical Neuropsychologist | 2522 W 41st St # 110, Sioux Falls, SD 57105-6120 | 2006-05-12 |
| 1508407313 | Josefine Combs | Clinical Neuropsychologist | 1210 W 18th St Ste G01, Sioux Falls, SD 57104 | 2019-10-02 |
| 1528499621 | Black Hills Neuropsychology and Behavioral Health, LLC | Clinical Neuropsychologist | 3650 Range Rd, Room #101, Rapid City, SD 57702-0627 | 2013-11-28 |
| 1497930481 | Thomas P. Schwartz | Clinical Neuropsychologist | 115 N 7th St, Ste 6, Spearfish, SD 57783-2700 | 2008-01-08 |
| 1508879867 | Michael James Mcgrath | Clinical Neuropsychologist | 3701 W 49th St, Suite 203, Sioux Falls, SD 57106-4241 | 2006-08-15 |
| 1285646059 | Nancy Powers | Clinical Neuropsychologist | 2905 5th St, Rapid City, SD 57701-7316 | 2006-08-12 |
| 1326034224 | Richard Gammon Whitten | Clinical Neuropsychologist | 4105 S Carnegie Pl, Sioux Falls, SD 57106-2360 | 2005-09-26 |
| 1205830544 | John Earl Meyers | Clinical Neuropsychologist | 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 | 2005-06-01 |
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| 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.