Healthcare Provider Details

I. General information

NPI: 1255241246
Provider Name (Legal Business Name): JONATHAN DREW SCHAEFER PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1514 LITTON AVE UNIT A
NASHVILLE TN
37216-3934
US

IV. Provider business mailing address

1514 LITTON AVE UNIT A
NASHVILLE TN
37216-3934
US

V. Phone/Fax

Practice location:
  • Phone: 215-237-6935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6864
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: