Individual provider Active NPI

Samuel Shapiro, MD

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1841593787
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P9122 Issued in TX
Practice address
4131 Spicewood Springs Rd Ste L1
Austin, TX 78759-8652
Phone
(516) 531-7660
NPI assigned
Dec 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 267622-01 NY
Psychiatry Physician 2084P0800X P9122 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd Ste L1
Austin, TX 78759-8652

Mailing address

3575 Far West Blvd Unit 26103
Austin, TX 78755-5006
Phone (516) 531-7660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130828000409 NY Practitioner - Psychiatry 5698918381 Reassigns benefits to 1 organization
I20141020001983 TX Practitioner - Psychiatry 5698918381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267622-01NYMDPsychiatry Physician
P9122TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shapiro Psychiatry PLLC Psychiatry CurrentSince Jul 23, 2023 Accepting new patients
Rock Springs Physician Group LLC Psychiatry CurrentSince Jun 27, 2019 Accepting new patients
Central Nassau Guidance & Counseling Services, Inc. Psychiatry CurrentSince Jul 24, 2023 Accepting new patients
Couch & Cardigan PLLC Psychiatry CurrentSince Jan 19, 2025 Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801

40 Queens St
Unit 191
Syosset, NY 11791

3575 Far West Blvd
Unit 26103
Austin, TX 78755

3575 Far West Blvd
#26564
Austin, TX 78731

4131 Spicewood Springs Rd
Ste L1
Austin, TX 78759
Phone (512) 400-4790

1335 E Whitestone Blvd
#200
Cedar Park, TX 78613
Phone (512) 819-9400

700 SE Inner Loop
Georgetown, TX 78626
Phone (512) 351-8769

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1841593787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 FAR WEST BLVD UNIT 26103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787555006",
            "telephone_number": "516-531-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD STE L1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598652",
            "telephone_number": "516-531-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "267622-01",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P9122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.