Individual provider Active NPI

Dana Maryse Shapero, PH.D, LP

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1164742474
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301015580 Issued in MI
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6301015580MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.