Active NPI
Dana Maryse Shapero, PH.D, LP
- Clinical Psychologist
- Farmington Hills, MI
National Provider Identifier
1164742474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301015580
- Practice address
- 32841 Middlebelt Rd Ste 405
Farmington Hills, MI 48334-1771 - Phone
- (248) 246-6767
- Fax
- (248) 246-2247
- NPI assigned
- Jun 9, 2010
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301015580 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301015580 | MI |
Addresses
Primary practice location
32841 Middlebelt Rd Ste 405
Farmington Hills, MI 48334-1771
Mailing address
32841 Middlebelt Rd Ste 405
Farmington Hills, MI 48334-1771
Phone (248) 246-6767
Other practice location 1
111 N 1st St
Suite 2
Ann Arbor, MI 48104-1397
Phone (734) 668-8585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301015580 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Eating Disorders | Past | Accepting new patients | |
| Ceis PLLC | Clinical Child & Adolescent | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Farmington Hills, MI
- NPI 1629591185
-
dba ReThink
- Adolescent Medicine (Family Medicine) Physician
- Bloomfield Hills, MI
- NPI 1972363125
Clinical Child & Adolescent
-
- General Practice Physician
- Ann Arbor, MI
- NPI 1154766244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1164742474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32841 MIDDLEBELT RD STE 405",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341771",
"telephone_number": "248-246-6767",
"fax_number": "248-246-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32841 MIDDLEBELT RD STE 405",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483341771",
"telephone_number": "248-246-6767",
"fax_number": "248-246-2247"
}
],
"practiceLocations": [
{
"address_1": "111 N 1st St",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041397",
"country_code": "US",
"telephone_number": "734-668-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPERO",
"first_name": "DANA",
"middle_name": "MARYSE",
"name_prefix": "Dr.",
"credential": "PH.D, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301015580",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301015580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.