Active NPI
Michael Steven Shapiro, PH.D.
- Health Service Psychologist
- Fayetteville, NC
National Provider Identifier
1962483206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 5209
- Practice address
- 1601 Owen Dr
Fayetteville, NC 28304-3425 - Phone
- (910) 678-0100
- Fax
- (910) 678-7022
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5209 | NC | |
| Health Service Psychologist | 103TH0100X | 5209 | NC | Primary |
Addresses
Primary practice location
1601 Owen Dr
Fayetteville, NC 28304-3425
Mailing address
1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1601 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 678-0100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5209 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fayetteville Area Health Education Foundation Inc | Psychologist | Current | Accepting new patients |
| Michael S. Shapiro, PH.D. and Associates, P.C. | Psychologist | Past | Accepting new patients |
Locations
1601 Owen Dr
Fayetteville, NC 28304
Phone (910) 323-1152
Interoperability endpoints
- michael.shapiro.1@23362.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1811072812
Psychologist
-
- Psychologist
- Athens, GA
- NPI 1992786453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1962483206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-678-0100",
"fax_number": "910-678-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043425",
"telephone_number": "910-678-0100",
"fax_number": "910-678-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5209",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "5209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.