Active NPI
Shauna Desai Shah, M.D.
- Psychiatry Physician
- Saint Louis, MO
National Provider Identifier
1598985020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MT186338
- Practice address
- 12 Saint Alfred Rd
Saint Louis, MO 63132-4119 - Phone
- (267) 738-4458
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MT186338 | PA | Primary |
Addresses
Primary practice location
12 Saint Alfred Rd
Saint Louis, MO 63132-4119
Mailing address
12 Saint Alfred Rd
Saint Louis, MO 63132-4119
Phone (267) 738-4458
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT186338 | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1598985020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SAINT ALFRED RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631324119",
"telephone_number": "267-738-4458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SAINT ALFRED RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631324119",
"telephone_number": "267-738-4458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHAUNA",
"middle_name": "DESAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MT186338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.