Provider Demographics
NPI:1235162231
Name:SCHAER, IRA JOSEPH (PHD)
Entity Type:Individual
Prefix:
First Name:IRA
Middle Name:JOSEPH
Last Name:SCHAER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:IRA
Other - Middle Name:J
Other - Last Name:SCHAER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:25128 PARKWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070
Mailing Address - Country:US
Mailing Address - Phone:248-545-2329
Mailing Address - Fax:
Practice Address - Street 1:26789 WOODWARD
Practice Address - Street 2:SUITE 211
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070
Practice Address - Country:US
Practice Address - Phone:248-399-6030
Practice Address - Fax:248-399-8211
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI002446103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R83946Medicare UPIN
OF34663Medicare ID - Type Unspecified