Active NPI
Richard Scott Shapiro, PH.D.
- Clinical Psychologist
- Atlanta, GA
National Provider Identifier
1770696452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 001081
- Practice address
- 1708 Peachtree Rd NW
Ste 400
Atlanta, GA 30309 - Phone
- (203) 254-3800
- NPI assigned
- Aug 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 001081 | CT | Primary |
Addresses
Primary practice location
1708 Peachtree Rd NW
Ste 400
Atlanta, GA 30309
Mailing address
857 Post Rd # 316
Fairfield, CT 06824-6041
Phone (203) 254-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061026000628 | CT | Practitioner - Clinical Psychologist | 3173520558 | Practice locations: Fairfield, CT; Trumbull, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1700 Post Rd
C18
Fairfield, CT 06824-5726
Phone (203) 254-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001081 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1770696452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "857 POST RD # 316",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246041",
"telephone_number": "203-254-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 PEACHTREE RD NW",
"address_2": "STE 400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "203-254-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2023-08-21",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "001081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.