Provider Demographics
NPI:1407748890
Name:SHATTER HEALTH, LLC
Entity type:Organization
Organization Name:SHATTER HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:AMIT
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-361-2453
Mailing Address - Street 1:4400 MACARTHUR BLVD NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2521
Mailing Address - Country:US
Mailing Address - Phone:202-361-2453
Mailing Address - Fax:888-830-6376
Practice Address - Street 1:4400 MACARTHUR BLVD NW STE 300
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2521
Practice Address - Country:US
Practice Address - Phone:202-361-2453
Practice Address - Fax:888-830-6376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty