Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack B Schaffer PHD PA

Organization Clinical Neuropsychologist · NPI 1891964086

Jack B Schaffer PHD PA is a Clinical Neuropsychologist 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
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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