Individual provider Active NPI

Roy M Shapiro, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1720155765
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4850 Issued in NY
Practice address
23 West 10 Street
New York, NY 10011-8760
Phone
(212) 475-8899
Fax
(212) 475-8899
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4850 NY Primary

Addresses

Primary practice location

23 West 10 Street
New York, NY 10011-8760

Mailing address

23 West 10 Street
New York, NY 10011-8760
Phone (212) 475-8899

Other identifiers 1

IdentifierTypeStateIssuer
SB81500VMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000802 NY Practitioner - Clinical Psychologist 5294928305 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25 E 10TH St
Apt 1F
New York, NY 10003-6108
Phone (917) 957-3827

Roy Shapiro
25 East 10 Street Suite 1F
New York, NY 10003-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4850NYMDPsychologist

Interoperability endpoints

  • Direct secure messaging: rshapiro321700@northwell.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720155765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WEST 10 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118760",
            "telephone_number": "212-475-8899",
            "fax_number": "212-475-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WEST 10 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118760",
            "telephone_number": "212-475-8899",
            "fax_number": "212-475-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ROY",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "4850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SB81500V",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.