Susan Shapiro, PHD MS MS RDN FAND

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 14277 Issued in CA

Practice address

1647 S Hayworth Ave
Los Angeles, CA 90035-4513

Phone

(310) 659-7800

Fax

(833) 392-1146

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Susan Shapiro Psychologist, Inc

  • Psychologist
  • Los Angeles, CA
  • NPI 1326661331
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1023214624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 S HAYWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354513",
            "telephone_number": "310-659-7800",
            "fax_number": "833-392-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 S HAYWORTH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354513",
            "telephone_number": "310-659-7800",
            "fax_number": "833-392-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHD MS MS RDN FAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-08-04",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14277",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 14277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shapiro
• Sarah Monique Shapiro
• Scott Michael Shapiro
• Shayna Baddock Shapiro
• Shelley M Shapiro, MD
• Ania Shapouri
• Eden Sharabi, MD, MS
• Cameron Sharafatian
• Namita Sharan, MFT
• Edward J Share, M.D.

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.