Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jack B Schaffer PHD PA

Organization Clinical Neuropsychologist · NPI 1891964086

Jack B Schaffer PHD PA provides Clinical Neuropsychologist services in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1790 Goodrich Ave
Saint Paul, MN 55105-1907 Not confirmed with CMS for 18 years — call before visiting
Phone: (651) 699-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence LP0311 (MN)

Record details

NPI number1891964086
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Schaffer — President · (651) 699-4751
NPI enumeratedFebruary 21, 2008
Last updated in NPPESFebruary 21, 2008
Mailing address1790 Goodrich Ave, Saint Paul, MN 55105-1907

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