Active NPI
Michael Shapiro, PH.D.
- Psychologist
- Charlottesville, VA
National Provider Identifier
1508115668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810005975
- Practice address
- 812 E High St
Charlottesville, VA 22902-5126 - Phone
- (434) 542-8421
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | |||
| Psychologist | 103T00000X | PS017314 | PA | |
| Clinical Psychologist | 103TC0700X | P3385 | TN | |
| Psychologist | 103T00000X | 0810005975 | VA | Primary |
Addresses
Primary practice location
812 E High St
Charlottesville, VA 22902-5126
Mailing address
1516 Rutledge Ave
Charlottesville, VA 22903-1418
Phone (847) 323-9510
Other practice location 1
4219 Hillsboro Pike Ste 306
Nashville, TN 37215-3332
Phone (615) 454-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Charlottesville, VA 22902
Phone (800) 679-1730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS017314 | PA | MD | Psychologist |
| PS017315 | PA | MD | Psychologist |
| P3385 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentous Health Inc | Current | Accepting new patients | |
| Neuropsychology Consultants, PLLC | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
812 E High St
Charlottesville, VA 22902
Phone (434) 542-8421
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Ramon, CA
- NPI 1154000578
VA
-
- Clinical Neuropsychologist
- Charlottesville, VA
- NPI 1134691462
-
- Clinical Neuropsychologist
- Nashville, TN
- NPI 1851724652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1508115668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 RUTLEDGE AVE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229031418",
"telephone_number": "847-323-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E HIGH ST",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025126",
"telephone_number": "434-542-8421"
}
],
"practiceLocations": [
{
"address_1": "4219 Hillsboro Pike Ste 306",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372153332",
"country_code": "US",
"telephone_number": "615-454-6502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MICHAEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS017314",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P3385",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.