Provider Demographics
NPI:1609146638
Name:DAVID SHAPIRO, PH.D.
Entity Type:Organization
Organization Name:DAVID SHAPIRO, PH.D.
Other - Org Name:DAVID SHAPIRO, PH.D. & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:949-582-3002
Mailing Address - Street 1:7700 IRVINE CENTER DR
Mailing Address - Street 2:SUITE 800
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2923
Mailing Address - Country:US
Mailing Address - Phone:949-582-3002
Mailing Address - Fax:949-420-3167
Practice Address - Street 1:7700 IRVINE CENTER DR
Practice Address - Street 2:SUITE 800
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-2923
Practice Address - Country:US
Practice Address - Phone:949-582-3002
Practice Address - Fax:949-420-3167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17495103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty