Ellen Shapiro LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 3674 Issued in FL

Legal business name

ELLEN SHAPIRO LLC

Practice address

1003 N Adams St
Tallahassee, FL 32303-6132

Phone

(850) 222-0003

Fax

(850) 222-1311

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Shapiro, PH.D

Title

Member/Psychologist

Phone

(850) 556-2625

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1497144661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N ADAMS ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036132",
            "telephone_number": "850-222-0003",
            "fax_number": "850-222-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N ADAMS ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036132",
            "telephone_number": "850-222-0003",
            "fax_number": "850-222-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN SHAPIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MEMBER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "850-556-2625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 3674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.