Eric D. Shaw, PH.D. Consulting & Clinical Psychology, LTD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ERIC D. SHAW, PH.D. CONSULTING & CLINICAL PSYCHOLOGY, LTD

Practice address

5225 Connecticut Ave NW
Suite 514
Washington, DC 20015-1813

Phone

(202) 686-9150

Fax

(202) 686-1907

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric David Shaw, PH.D.

Title

President

Phone

(202) 686-9150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902968076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 CONNECTICUT AVE NW",
            "address_2": "SUITE 514",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151813",
            "telephone_number": "202-686-9150",
            "fax_number": "202-686-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 CONNECTICUT AVE NW",
            "address_2": "SUITE 514",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200151813",
            "telephone_number": "202-686-9150",
            "fax_number": "202-686-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC D. SHAW, PH.D. CONSULTING & CLINICAL PSYCHOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-686-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.