Lawrence Shapiro, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014515 Issued in NY

Practice address

Creedmoor Psychiatric Center
79-25 Winchester Boulevard
Queens Village, NY 11427-2199

Phone

(718) 264-4112

NPI assigned

Feb 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1902362171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HALSEY AVENUE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522114",
            "telephone_number": "516-717-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREEDMOOR PSYCHIATRIC CENTER",
            "address_2": "79-25 WINCHESTER BOULEVARD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272199",
            "telephone_number": "718-264-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathleen Mary Sexton, COTA/L
• Dipesh K. Shah
• Namrata Shah, MD
• Shahzad Iqbal Physician PLLC
• Clara Shamatanga
• Omar Shareef, MD
• Arooj Sharif
• Haniel Shen, M.D.
• Suzanne Sher, LMSW
• Diana Shimonova, MS, CCC-SLP

• Clinical Psychologist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.