Brian Schaffer
NPI 1720123771ActiveIndividual· Psychologist, Clinical· Evanston, WY
Psychologist, Clinical in Evanston, Wyoming, licensed in WY, with an NPI issued in February 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1720123771 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 20, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 417 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (UT) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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