Active NPI
Erica Rosentraub Shapiro, PH.D.
- Psychologist
- San Antonio, TX
National Provider Identifier
1689179731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 36986
- Practice address
- 1314 E. Sonterra Blvd. Ste. 2208
San Antonio, TX 78258 - Phone
- (210) 858-1900
- Fax
- (210) 745-4525
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 36986 | TX | Primary |
Addresses
Primary practice location
1314 E. Sonterra Blvd. Ste. 2208
San Antonio, TX 78258
Mailing address
4040 Broadway Suite 518
San Antonio, TX 78209
Phone (210) 858-1900
Other names 1
- Erica Rosentraub
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36986 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1689179731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 BROADWAY SUITE 518",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78209",
"telephone_number": "210-858-1900",
"fax_number": "210-745-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 E. SONTERRA BLVD. STE. 2208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-858-1900",
"fax_number": "210-745-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "ERICA",
"middle_name": "ROSENTRAUB",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "36986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "ROSENTRAUB",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.