ELIZABETH A. SHAW


Address: 112 Swift Ave, Durham, NC 27705-4883
Phone: 9198242480

ELIZABETH A. SHAW (NPI# 1720060627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720060627
Entity Type Individual
Full Name ELIZABETH A. SHAW
Credential PH.D
Practice Address 112 Swift Ave
Durham
NC 27705-4883
Practice Telephone 9198242480
Practice Fax Number 9194161188
Mailing Telephone 9198242480
Mailing Fax Number 9194161188
Enumeration Date 2005-11-16
Last Update Date 2011-11-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1107 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BLUE CROSS BLUE SHIELD 04534 01

Other Providers ELIZABETH SHAW

NPI Name Taxonomy Address Enumeration
1053911289 Elizabeth Shaw Naturopath 255 S Kyrene Rd Unit 122, Chandler, AZ 85226-4458 2020-10-27
1093208688 Elizabeth Rachel Shaw Social Worker 2761 Nw 119th Ave, Plantation, FL 33323-1749 2018-06-08
1467961185 Elizabeth Shaw Social Worker 726 Adams St Apt A, New Orleans, LA 70118-3907 2017-09-26
1922543339 Elizabeth Shaw Massage Therapist 196 Ford St, Highland Park, MI 48203-3043 2016-12-21
1710331178 Elizabeth Shaw Registered Nurse 529 Main St Ste 220, Charlestown, MA 02129-1125 2016-04-21
1598126419 Elizabeth Shaw Dietitian, Registered 12335 Fronsac St, San Diego, CA 92131-1510 2016-03-20
1144560061 Elizabeth Shaw Physical Therapist 204 Schwartz Rd, Colville, WA 99114-9278 2013-03-01
1003121583 Elizabeth Ivy Shaw Speech-Language Pathologist 900 Pelham Pkwy S, Bronx, NY 10462-1100 2010-08-09
1225272537 Elizabeth E Shaw Dentist 10502 11th Ave Ne, Seattle, WA 98125-7506 2009-04-30
1326686643 Elizabeth Shaw Social Worker 409 Old Boring Ln, Woodstock, GA 30189-2495 2019-12-17

Office Location

Street Address 112 SWIFT AVE
City DURHAM
State NC
Zip Code 27705-4883

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326587361 Physician Assisted Wellness, Pllc Family Medicine 112 Swift Ave, Durham, NC 27705-4883 2017-02-22
1821536921 David F Naftolowitz Md PC Clinic/Center 112 Swift Ave, Durham, NC 27705-4883 2017-02-08
1144770876 Loss Into Topaz: Counseling Specializing In Grief and Pet Loss, Pllc Social Worker 112 Swift Ave, Durham, NC 27705-4883 2016-10-05
1912370891 Vivian Buhrman Lcsw Pllc Social Worker 112 Swift Ave, Durham, NC 27705-4883 2015-11-02
1841671302 Jehanne M Gheith Counselor 112 Swift Ave, Durham, NC 27705-4883 2015-06-10
1356721765 Carolina Counseling and Life Coaching Pllc Social Worker 112 Swift Ave, Durham, NC 27705-4883 2015-06-02
1518362565 Gary Glass Psychologist 112 Swift Ave, Durham, NC 27705-4883 2014-11-01
1356586341 Elizabeth Munro Norman Marriage & Family Therapist 112 Swift Ave, Durham, NC 27705-4800 2008-12-05
1679694996 Jonathan L. Sheline Family Medicine 112 Swift Ave, Durham, NC 27705-4883 2007-04-03
1285777581 David F Naftolowitz Psychiatry & Neurology 112 Swift Ave, Durham, NC 27705-4800 2007-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295371755 Tyler Beach, Lcsw, Pllc Social Worker 2740 Spencer Street, Durham, NC 27705 2019-11-20
1720635477 Brittany W Fry Registered Nurse 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 2019-08-19
1760968044 Nicole D Moore Social Worker 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 2018-07-19
1144757097 Emileigh S Dowling Physical Therapist 3475 Erwin Rd Bldg 2, Durham, NC 27705 2017-05-22
1487195350 Daniel Lynch Physical Therapist 3475 Erwin Road, Pepsico Building, Durham, NC 27705 2017-03-13
1780131839 Michael A Fitzpatrick Iv Physical Therapist 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 2016-09-07
1609241736 Julia Power Constant Physician Assistant Dumc Box 3913, Durham, NC 27705 2015-12-01
1518344159 Amanda Clark Coniglio Internal Medicine 2301 Erwin Rd # 3845, Durham, NC 27705 2015-05-04
1720486988 Jennifer Dawn Pace Physician Assistant 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 2014-12-19
1942612106 Rachel Hibberd Psychologist 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 2014-05-22
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861033839 Hope Inga Hills Psychologist 1118 Scholastic Cir, Durham, NC 27713-6580 2019-10-01
1336704808 Rachel Bradley Psychologist 1415 W Nc Highway 54 Ste 210, Durham, NC 27707-5597 2019-05-09
1033620620 Beverly H Savinsky Psychologist 4125 Ben Franklin Blvd Ste 160, Durham, NC 27704-2167 2017-10-23
1134659105 Center for Health and Emotional Wellness, Pllc Psychologist 4819 Emperor Blvd Ste 400, Durham, NC 27703-5420 2017-06-13
1053843532 Warren Eugene Hoskins II Psychologist 2611 Camellia Dr, Durham, NC 27705-2075 2017-04-03
1558778332 Shiahna Dye Psychologist 3200 Old Chapel Hill Rd, Durham, NC 27707-3606 2014-07-14
1902226699 Tonya Omar Pllc Dba The Aya Center Psychologist 3500 Westgate Dr Ste 101, Durham, NC 27707-2568 2014-04-21
1316373871 Elizabeth Ann Schmitt Psychologist 414 Gresham Ave, Durham, NC 27704-4214 2013-09-16
1457792830 Tracy Cannady Psychologist 3308 Durham Chapel Hill Blvd Ste F, Durham, NC 27707-6200 2013-07-12
1912346339 Jennifer Carolyn Plumb Vilardaga Psychologist 2200 W Main St Ste 340, Durham, NC 27705-4677 2013-06-19
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Competitor

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City DURHAM
Zip Code 27705

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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