Jerrold Lee Shapiro, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY5646 Issued in CA

Practice address

4546 El Camino Real
Suite 242
Los Altos, CA 94022-1099

Phone

(650) 941-9219

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063633535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 VERANO DR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222345",
            "telephone_number": "650-948-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL",
            "address_2": "SUITE 242",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221099",
            "telephone_number": "650-941-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "JERROLD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nidhi Malav Shah
• Sagar Vinod Shah, D.D.S.
• Natalie Shahar, LMFT
• Maytal Shalev-Eylath
• Yihsin Megan Shang, R.PH.
• Ilana Sharaun, M.F.T
• Barbara Jean Shea, PH.D.
• Ella Shechtman-Cory, PH.D.
• Shiva Sheikholeslam, D.M.D., M.D.S.
• Gail H C Shen, PH.D.

• Clinical Psychologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.