MRS. MELISSA SHEPARD


Address: 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051
Phone: 3106688311

MRS. MELISSA SHEPARD (NPI# 1023205978) 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) 1023205978
Entity Type Individual
Full Name MRS. MELISSA SHEPARD
Credential MSW
Practice Address 1721 E 120th St
Trailer 6
Los Angeles
CA 90059-3051
Practice Telephone 3106688311
Mailing Telephone 3106688311
Enumeration Date 2007-09-25
Last Update Date 2011-08-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers MELISSA SHEPARD

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1427356096 Melissa Shepard Registered Nurse 3280 Wunneweta Rd, Cutchogue, NY 11935-1623 2011-03-07
1295979862 Melissa A. Shepard Registered Nurse 208 Weber St, Auburn, MI 48611-9487 2009-04-27
1639566219 Melissa Shepard Psychiatry & Neurology 300 Billingsley Rd Ste 108, Charlotte, NC 28211-3091 2015-04-21
1972827673 Melissa Shepard Physical Therapist 607 S New Ballas Rd, Saint Louis, MO 63141-8222 2010-03-24
1871756197 Melissa Jean Shepard Nurse Anesthetist, Certified Registered 800 E 28th St, Minneapolis, MN 55407-3723 2008-07-07

Office Location

Street Address 1721 E 120TH ST
TRAILER 6
City LOS ANGELES
State CA
Zip Code 90059-3051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801985866 Bianca E. De Anda Rehabilitation Practitioner 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051 2006-10-11
1760958284 Denise Ortiz Nurse Practitioner 1721 E 120th St, Los Angeles, CA 90059-3051 2018-10-23
1427588573 Linda Black-castillo Registered Nurse 1721 E 120th St, Los Angeles, CA 90059-3051 2017-06-12
1760862320 Los Angeles County Department of Mental Health Clinic/Center 1721 E 120th St, Trailer #6, Los Angeles, CA 90059-3051 2015-06-08
1992106389 Monica Galeana Marriage & Family Therapist 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051 2014-09-04
1073948600 Erwin Ordonez Counselor 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051 2013-09-13
1073812749 Artia Thomas Marriage & Family Therapist 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051 2011-03-21
1891002028 Consuelo Gomez Rehabilitation Practitioner 1721 E 120th St, Trailer 6, Los Angeles, CA 90059-3051 2010-09-09
1285814368 Kay Benjamin Counselor 1721 E 120th St, Trailer #6, Los Angeles, CA 90059-3051 2007-11-06
1497941900 Brittney Renwick Chesworth Social Worker 1721 E 120th St, Los Angeles, CA 90059-3051 2007-09-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235759788 Juan Jimenez Jr. Technician, Pathology 1860 E 120th St, Los Angeles, CA 90059 2020-04-24
1538717780 Donald O Nwanze Pharmacist Mlk Outpatient Center (pharmacy), 1670 East 120th Street, Los Angeles, CA 90059 2019-08-30
1295391050 Sheela Hoyle Counselor 836 East Saucer Lane, Los Angeles, CA 90059 2019-05-16
1750852471 Carlos Tovar Sr. Community Health Worker 1720 E 120st, Los Angeles, CA 90059 2018-12-06
1699293910 Amy Caryn Bolenbaugh Recreation Therapist 1720 E 120th Street, Los Angeles, CA 90059 2017-09-07
1417475757 Scott Lee Jones Recreation Therapist Augustus F. Hawkins, 1720 E. 120th Street, Rm. 2196, Los Angeles, CA 90059 2017-09-07
1881118859 Darlene Renee Tillman Speech-Language Pathologist 1670 E 120th Strret, Los Angeles, CA 90059 2017-08-01
1609306430 Valda Therese Flores Registered Nurse 1670 E. 120th Street, Los Angeles, CA 90059 2017-06-14
1093244006 Bongsill Chung Registered Nurse 1670 East 120th St, Los Angeles, CA 90059 2017-06-05
1730573395 Apollonia Godoy Registered Nurse 1670 E. 120th St, 4th Floor, Module A, Los Angeles, CA 90059 2015-03-22
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1346855244 Sorenson Psychological and Assessment Services Counselor 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 2020-09-09
1841800190 Daniela Sanchez Counselor 5081 Borland Rd, Los Angeles, CA 90032-3950 2020-08-02
1649888512 David John Laing Counselor 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 2020-07-16
1366060659 Amy H Kim Counselor 2152 Lemoyne St, Los Angeles, CA 90026-1950 2020-07-13
1083231435 Leslie Gluck Counselor 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 2020-07-01
1104441112 Barbara R Ponse Counselor 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 2020-06-15
1033734264 Shelley Baird Smith Counselor 265 S St Andrews Pl, Los Angeles, CA 90004-5029 2020-06-12
1801411566 Tyler Grant Daly Counselor 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 2020-06-09
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Competitor

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City LOS ANGELES
Zip Code 90059

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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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