Chantelle Shaw, DO

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

T8942 Issued in TX

Practice address

3120 Southwest Fwy
Ste 101 PMB 173354
Houston, TX 77098-4520

Phone

(832) 793-7942

Fax

(800) 352-9936

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Psychiatry

Education

Ohio University, College of Osteopathic Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: lifestancehealth.chantelleshaw@136732.advancedmd-direct.com

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1447711585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 SOUTHWEST FWY",
            "address_2": "STE 101 PMB 173354",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984520",
            "telephone_number": "832-793-7942",
            "fax_number": "800-352-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 SOUTHWEST FWY",
            "address_2": "STE 101 PMB 173354",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770984520",
            "telephone_number": "832-793-7942",
            "fax_number": "800-352-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHANTELLE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "T8942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Shaw, MD
• Brianna Marchae Shaw
• Brittaney Shaw, DNP, APRN, FNP-C
• Cassandra Shaw, CHES 29195
• Catherine Shaw
• Charles Shaw
• Christina Marie Shaw, LPC
• Courtney Shaw, LPC, LCDC, LCPC
• Elena Babina Shaw
• Freddrick Douglass Shaw, D.C.

• Child & Adolescent Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.