Shapiro Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS017314 Issued in PA

Legal business name

SHAPIRO PSYCHOLOGICAL SERVICES, LLC

Practice address

1402 S Atherton St
Suite 102
State College, PA 16801-6255

Phone

(814) 308-9048

NPI assigned

Nov 13, 2013

Organization subpart

No

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

Authorized official

Name

Michael Shapiro, PH.D.

Title

Owner

Phone

(814) 308-9048

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1306276274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S ATHERTON ST",
            "address_2": "SUITE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016255",
            "telephone_number": "814-308-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S ATHERTON ST",
            "address_2": "SUITE 102",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016255",
            "telephone_number": "814-308-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-308-9048",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS017314",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leonard Shamus, NP
• Justine Shaner, PTA
• Christy Sharer, MS, PHD
• Jerome Matthew Sharer
• Krista L. Sharer, PA-C
• Kirti Sharma, M.D.
• Sharon L. Pletcher, P.C., Inc

• Clinical Psychologist in State College, PA
• Providers in State College, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.