Lawrence E Shapiro, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2010040770 Issued in MO

Practice address

1129 Macklind Ave
Saint Louis, MO 63110-1440

Phone

(314) 534-0200

Fax

(314) 534-7996

NPI assigned

Apr 19, 2011

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1336439728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S SKINKER BLVD APT 16B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052353",
            "telephone_number": "314-809-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MACKLIND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101440",
            "telephone_number": "314-534-0200",
            "fax_number": "314-534-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 S Skinker Blvd Apt 16B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631052353",
            "country_code": "US",
            "telephone_number": "314-809-3964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2010040770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST LOUIS BEHAVIORAL MEDICINE INSTITUTE",
            "identifier": "232812942",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Lynn Shannon, BT
• Shanon Harlow, LLC
• Andrew Shapiro, PLPC
• Christina M Shapiro, LCSW
• Herbert Norman Shapiro, M.D.
• Michael L Shapiro, M.D.
• Abigail Sharamitaro, CPNP
• Siefaddeen Sharayah, MD
• Neera Sharda, MD
• Share a Smile, LLC

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.