Organization Active NPI

David a Shapiro, PH.D., P.C.

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1942641568
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DAVID A SHAPIRO, PH.D., P.C.
Practice address
1301 S 8TH St
Suite 301
Colorado Springs, CO 80905-7335
Phone
(719) 634-6887
Fax
(719) 630-7858
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. David Adam Shapiro, PH.D.NPI 1851499305
Title
Psychologist/Owner
Phone
(719) 634-6887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

1301 S 8TH St
Suite 301
Colorado Springs, CO 80905-7335

Mailing address

1301 S 8TH St
Suite 301
Colorado Springs, CO 80905-7335
Phone (719) 634-6887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130708000031 CO Part B Supplier - Clinic/Group Practice 5890935332 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

1301 S 8th St
Ste 301
Colorado Springs, CO 80905
Phone (719) 634-6887

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1942641568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST",
            "address_2": "SUITE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057335",
            "telephone_number": "719-634-6887",
            "fax_number": "719-630-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S 8TH ST",
            "address_2": "SUITE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809057335",
            "telephone_number": "719-634-6887",
            "fax_number": "719-630-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A SHAPIRO, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "719-634-6887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.