Lauren J. Shapiro, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0710085252 Issued in IL

Practice address

465 Central Ave
Suite 203
Northfield, IL 60093-3045

Phone

(847) 686-0090

Fax

(847) 686-0090

NPI assigned

Dec 6, 2013

Last updated

Dec 6, 2013By the provider in NPPES

Sex

Female

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

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Behavioral Health Cooperative LLCGroup PAC ID 1355732777, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Behavioral Health Cooperative, LLC

  dba Primary Care Psychology Associates

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1497428817
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386288000000",
    "number": "1982035663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 203",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-686-0090",
            "fax_number": "847-686-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 CENTRAL AVE",
            "address_2": "SUITE 203",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600933045",
            "telephone_number": "847-686-0090",
            "fax_number": "847-686-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAUREN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0710085252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Serafin, MD
• Marie-Pierre Sernatinger, LCPC
• Sara Lorraine Serota, FNP
• Roshni Shah, PSYD
• Nathaly Bassam Shammo
• Susan Shapiro, MD
• Sharon Fisch-Reichler, PLLC
• Sharon Healthcare Willows Inc
• Geoffrey Sydney Shaw, MD
• Craig V Showalter, MD

• Clinical Psychologist in Northfield, IL
• Providers in Northfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.

Verify at the official NPI Registry.