Organization Active NPI

David Shaw, Psy.D. ,P.a.

  • Clinical Psychologist
  • Jupiter, FL
National Provider Identifier
1407046808
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0003539 Issued in FL
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

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Dr. David Shaw, PSY.D.NPI 1497741284
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.