George Eugene Shapiro, PHD PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0033271 Issued in NY

Practice address

211 W 56 St
Apt 5K
New York City, NY 10019-4312

Phone

(212) 307-0582

Fax

(516) 466-2993

NPI assigned

Oct 31, 2006

Last updated

Aug 20, 2007By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1467538694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE IPSWICH AVE",
            "address_2": "328",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213263",
            "telephone_number": "516-487-1328",
            "fax_number": "516-466-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 56 ST",
            "address_2": "APT 5K",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "100194312",
            "telephone_number": "212-307-0582",
            "fax_number": "516-466-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "GEORGE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "PHD PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "0033271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "V921X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "V1005",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in New York City, NY
• Providers in New York City, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.