Individual provider Active NPI

Sheldon S Shapiro, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Greenacres, FL
National Provider Identifier
1588068175
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
004325-2014 Issued in FL
Practice address
6415 Lake Worth Rd
Suite 102
Greenacres, FL 33463-2910
Phone
(561) 327-6977
Fax
(888) 463-3113
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 004325-2014 FL Primary

Addresses

Primary practice location

6415 Lake Worth Rd
Suite 102
Greenacres, FL 33463-2910

Mailing address

6415 Lake Worth Rd
Suite 102
Greenacres, FL 33463-2910
Phone (561) 327-6977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004325-2014FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1588068175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD",
            "address_2": "SUITE 102",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632910",
            "telephone_number": "561-327-6977",
            "fax_number": "888-463-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 LAKE WORTH RD",
            "address_2": "SUITE 102",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632910",
            "telephone_number": "561-327-6977",
            "fax_number": "888-463-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SHELDON",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "004325-2014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.