Morris N Shafran, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3365 N Arlington Heights Rd Ste a
Arlington Heights, IL 60004-7700

Phone

(847) 465-9858

Fax

(847) 577-0613

NPI assigned

Nov 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255418398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3365 N ARLINGTON HEIGHTS RD STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047700",
            "telephone_number": "847-465-9858",
            "fax_number": "847-577-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3365 N ARLINGTON HEIGHTS RD STE A",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600047700",
            "telephone_number": "847-465-9858",
            "fax_number": "847-577-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFRAN",
        "first_name": "MORRIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO.",
            "identifier": "016-05072",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seyisso Express Solutions LLC
• Charmaine Catherine Shafer, RPH, CGP
• Devon J. Shafer, APN-CNP
• Douglas Wayne Shafer, R.PH., MBA
• Sheila Y Shafer, OTR
• Shah Nawaz, MD Inc
• Anita N Shah, M.D.
• Ankit A Shah, M.D.
• Dipal Chokshi Shah, DO
• Lena Shah, MD

• Psychologist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.