Active NPI
David Shaw, Psy.D. ,P.a.
- Clinical Psychologist
- Jupiter, FL
National Provider Identifier
1407046808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY0003539
- Legal business name
- DAVID SHAW, PSY.D. ,P.A.
- Practice address
- 825 S US Highway 1
360
Jupiter, FL 33477-5976 - Phone
- (561) 746-6482
- Fax
- (561) 575-3662
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Shaw, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (561) 746-6482
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY0003539 | FL | Primary |
Addresses
Primary practice location
825 S US Highway 1
360
Jupiter, FL 33477-5976
Mailing address
825 S US Highway 1
360
Jupiter, FL 33477-5976
Phone (561) 746-6482
National Provider Directory
National Provider DirectoryLocations
825 S US Highway 1
Ste 360A
Jupiter, FL 33477
Phone (561) 746-6482
825 S US Highway 1
Ste 360
Jupiter, FL 33477
Phone (561) 746-6482
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Jupiter, FL
- NPI 1497741284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185840000000",
"number": "1407046808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 S US HIGHWAY 1",
"address_2": "360",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775976",
"telephone_number": "561-746-6482",
"fax_number": "561-575-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 S US HIGHWAY 1",
"address_2": "360",
"city": "JUPITER",
"state": "FL",
"postal_code": "334775976",
"telephone_number": "561-746-6482",
"fax_number": "561-575-3662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID SHAW, PSY.D. ,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2007-07-31",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "561-746-6482",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY0003539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.