Provider Demographics
NPI:1427115138
Name:SCHAEFER, JAMES L (PSYD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22231 MULHOLLAND HWY
Mailing Address - Street 2:STE 106
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-5178
Mailing Address - Country:US
Mailing Address - Phone:818-274-9900
Mailing Address - Fax:818-276-4021
Practice Address - Street 1:22231 MULHOLLAND HWY
Practice Address - Street 2:STE 106
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-5178
Practice Address - Country:US
Practice Address - Phone:818-222-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16197103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist