| Mary Schaffer, PHD | |
|
6817 Kirkwood Dr, Mentor, OH 44060-4205 | |
| (440) 972-0454 | |
| (440) 972-0459 |
| Full Name | Mary Schaffer |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 37 Years |
| Location | 6817 Kirkwood Dr, Mentor, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679501563 | NPI | - | NPPES |
| 1629242417 | Other | OH | GROUP NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 5034 (Ohio) | Secondary |
| 103T00000X | Psychologist | P.5034 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Psychological And Behavioral Consultants Llc | 0446243760 | 459 |
| Peter Arian Llc | 5193167112 | 4 |
| Entity Name | Psychological & Behavioral Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811915713 PECOS PAC ID: 0446243760 Enrollment ID: O20040405000363 |
| Entity Name | Peter Arian Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184324287 PECOS PAC ID: 5193167112 Enrollment ID: O20240522002604 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Schaffer, PHD Po Box 570, Grand River, OH 44045-0570 Ph: (440) 477-6392 | Mary Schaffer, PHD 6817 Kirkwood Dr, Mentor, OH 44060-4205 Ph: (440) 972-0454 |
Mrs. Maureen Ray, M.A.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241 | |
Emily Katherine Latessa, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241 | |
Christina Riddell, M.A., ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6477 Center St, Mentor, OH 44060 Phone: 440-974-5438 | |
Dr. Elizabeth Blair Wyatt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8039 Broadmoor Rd, #15, Mentor, OH 44060 Phone: 440-269-1500 Fax: 440-269-8545 | |
Dr. Douglas Waltman, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 9002 Mentor Ave, Mentor, OH 44060 Phone: 440-205-1008 Fax: 440-205-1047 | |
Erin Kay Kotkowski, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8224 Mentor Ave Ste 208, Mentor, OH 44060 Phone: 440-392-2222 Fax: 440-565-2349 | |
Mrs. Kelly Light, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-974-5241 |