David Shaw

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0003539 Issued in FL

Practice address

18384 Lost Lake Way
Jupiter, FL 33458-3805

Phone

(561) 444-7038

Fax

(561) 746-6036

NPI assigned

Sep 27, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• David Shaw, Psy.D. ,P.a.

  • Clinical Psychologist
  • Jupiter, FL
  • NPI 1407046808
  NPD (past) Authorized official

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1497741284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18384 LOST LAKE WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583805",
            "telephone_number": "561-444-7038",
            "fax_number": "561-746-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18384 LOST LAKE WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583805",
            "telephone_number": "561-444-7038",
            "fax_number": "561-746-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY0003539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry J Shapiro, MD
• Jennifer Shapiro, APRN
• Vijay M Sharma, MD
• Sharon Vitale PA
• Shauna Kranendonk LLC
• Anthony Shaya, MD
• Irina Shchepina, APRN
• John Shea
• Rachel Shea, L.M.T.
• Tasmina Sheikh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.