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

Thomas G Shafer, NPP-BC

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1205195278

Thomas G Shafer, NPP-BC is a Psychiatric/Mental Health Registered Nurse in Brockport, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2012
Specialties on file
2

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

350 New Campus Dr Suny College At Brockport
Brockport, NY 15520
Phone: (585) 395-2207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 401602 (NY)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 586940 (NY)

Record details

NPI number1205195278
Entity typeIndividual (Type 1)
GenderMale
Credentials NPP-BC
Sole proprietorYes
NPI enumeratedMay 11, 2012
Last updated in NPPESOctober 22, 2014