Individual provider Active NPI

Megan Brown-Shafferman, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Metairie, LA
National Provider Identifier
1205965944
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
1271 Issued in LA
Practice address
3008 20TH St
Suite a
Metairie, LA 70002-4970
Phone
(504) 302-1489
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Child & Adolescent Psychologist 103TC2200X PY8486 FL
Clinical Child & Adolescent Psychologist 103TC2200X 1271 LA Primary

Addresses

Primary practice location

3008 20TH St
Suite a
Metairie, LA 70002-4970

Mailing address

3008 20TH St
Suite a
Metairie, LA 70002-4970
Phone (504) 302-1489

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

State licenses

LicenseStateTypeSpecialty
PY8486FLMDClinical Child & Adolescent Psychologist
1271LAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1205965944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 20TH ST",
            "address_2": "SUITE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024970",
            "telephone_number": "504-302-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 20TH ST",
            "address_2": "SUITE A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024970",
            "telephone_number": "504-302-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-SHAFFERMAN",
        "first_name": "MEGAN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY8486",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "1271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.