Healthcare Provider Details

I. General information

NPI: 1750782215
Provider Name (Legal Business Name): JENNIFER CALEY SCHAEFER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER CALEY JACOBSON MD

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

IV. Provider business mailing address

630 W 34TH ST STE 301
AUSTIN TX
78705-1217
US

V. Phone/Fax

Practice location:
  • Phone: 512-212-4670
  • Fax: 512-233-5830
Mailing address:
  • Phone: 512-212-4670
  • Fax: 512-233-5830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberR0591
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License NumberR0591
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR0591
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberBP10050015
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: