Organization Active NPI

Michael S. Shapiro, PH.D. and Associates, P.C.

  • Psychologist
  • Athens, GA
National Provider Identifier
1992786453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1210 Issued in GA
Legal business name
MICHAEL S. SHAPIRO, PH.D. AND ASSOCIATES, P.C.
Practice address
575 Research Dr
Suite C
Athens, GA 30605-2779
Phone
(706) 549-5055
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael S. Shapiro, PH.D.NPI 1962483206
Title
Ceo
Phone
(706) 549-5055

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1210 GA Primary

Addresses

Primary practice location

575 Research Dr
Suite C
Athens, GA 30605-2779

Mailing address

575 Research Dr
Suite C
Athens, GA 30605-2779
Phone (706) 549-5055

National Provider Directory

National Provider Directory

Locations

575 Research Dr
Ste C
Athens, GA 30605
Phone (706) 214-1427

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992786453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 RESEARCH DR",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052779",
            "telephone_number": "706-549-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 RESEARCH DR",
            "address_2": "SUITE C",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306052779",
            "telephone_number": "706-549-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. SHAPIRO, PH.D. AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-549-5055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • 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.