Active NPI
Jane R Buder Shapiro, PH.D.
- Psychologist
- Beachwood, OH
National Provider Identifier
1831218791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4945
- Practice address
- 23210 Chagrin Blvd Ste 211
Beachwood, OH 44122-5425 - Phone
- (440) 734-8131
- Fax
- (216) 595-0118
- NPI assigned
- Mar 29, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4945 | OH | Primary |
Addresses
Primary practice location
23210 Chagrin Blvd Ste 211
Beachwood, OH 44122-5425
Mailing address
3351 Ingleside Rd
Shaker Heights, OH 44122-3417
Phone (440) 734-8131
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4945 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Brinkman-Sull, Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Beachwood, OH
- NPI 1861429219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831218791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 INGLESIDE RD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441223417",
"telephone_number": "440-734-8131",
"fax_number": "216-595-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23210 CHAGRIN BLVD STE 211",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225425",
"telephone_number": "440-734-8131",
"fax_number": "216-595-0118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDER SHAPIRO",
"first_name": "JANE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beachwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.