Shatter Health, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SHATTER HEALTH, LLC

Practice address

4400 Macarthur Blvd NW Ste 300
Washington, DC 20007-2521

Phone

(202) 361-2453

Fax

(888) 830-6376

NPI assigned

Jul 18, 2025

Organization subpart

Yes

Parent organization

SHATTER HEALTH, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Amit Kapoor

Title

Owner

Phone

(202) 361-2453

Specialties & licenses 4

Addresses

Other names 2

• Ellie Georgetown Doing business as
• Ellie Mental Health Doing business as

Part of

Shatter Health LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keydra Johnson

  • Clinical Social Worker
  • Washington, DC
  • NPI 1891363099
  NPD
• Connie Lynn Blizzard, PSY.D.

  • Clinical Psychologist
  • Columbia, MD
  • NPI 1417142290
  NPD

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1407748890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MACARTHUR BLVD NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072521",
            "telephone_number": "202-361-2453",
            "fax_number": "888-830-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MACARTHUR BLVD NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072521",
            "telephone_number": "202-361-2453",
            "fax_number": "888-830-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHATTER HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHATTER HEALTH, LLC",
        "enumeration_date": "2025-07-18",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "KAPOOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "AMIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-361-2453",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Georgetown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shashank C. Srivastava,DPM,LLC
• Elizabeth Shashaty, MD
• Yemarwuha T Shashe
• Keyan Shasti, DO
• Shastriji PLLC
• Haley Shatto, ACNPC-AG
• Alyson Shaughnessy, PHYSICIAN ASSISTANT
• April Shaughnessy, RPH, CAE
• Haroon Shaukat, M.D.
• Thomas Shaver

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.