DR. MASON SHEPHERD (NPI# 1558903005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558903005 |
| Entity Type | Individual |
| Full Name | DR. MASON SHEPHERD |
| Credential | PSY.D. |
| Practice Address |
671 Hoes Ln W Piscataway NJ 08854-8021 |
| Mailing Address |
456 Hamilton St Apt B Somerset NJ 08873-5521 |
| Practice Telephone | 9739723787 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
671 HOES LN W |
| City | PISCATAWAY |
| State | NJ |
| Zip Code | 08854-8021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942257704 | Laura Stephens-sutton | Nurse Practitioner | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2006-05-27 |
| 1497356828 | Rachael Adelfio | Social Worker | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-11-03 |
| 1922618230 | Tammy Ivers | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-08-03 |
| 1740804921 | Jovan Thomas | Social Worker | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-06-03 |
| 1649894718 | Maria Canelas | Peer Specialist | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-06-03 |
| 1043832793 | Jordan Alderman | Specialist/Technologist | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-05-15 |
| 1316567811 | Mutahannah A Peacock | Social Worker | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-04-24 |
| 1033738448 | Pettrianne Carlene Morris-covington | Counselor | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-04-15 |
| 1609405091 | Mark Henry Hugick | Student in an Organized Health Care Education/Training Program | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-04-07 |
| 1710515556 | Mangtak Andy Kwok | Student in an Organized Health Care Education/Training Program | 671 Hoes Ln W, Piscataway, NJ 08854-8021 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327548 | Sally Ng | Student in an Organized Health Care Education/Training Program | 675 Hoes Lane West, Piscataway, NJ 08854 | 2020-05-16 |
| 1932728870 | Mawaddah Ahmed Mohamed Khalil Alislambouli | Student in an Organized Health Care Education/Training Program | 1701 Quincy Street, Piscataway, NJ 08854 | 2020-04-10 |
| 1457831273 | Lindsay Brooke Gonzalez | Social Worker | Rutgers Day School- Rutgers University Ubhc, 671 Hoes Lane, Piscataway, NJ 08854 | 2018-08-21 |
| 1568941524 | Step Three Support Services, LLC | In Home Supportive Care | 1297 Centennial Ave Ste 5-102, Piscataway, NJ 08854 | 2018-08-10 |
| 1942788252 | Adrienne Wallace | Speech-Language Pathologist | 170 Birchview Dr, Piscataway, NJ 08854 | 2018-07-31 |
| 1215423066 | Eugene Reid | Physical Medicine & Rehabilitation | 250 Old New Brunswick Road, Building 12, Piscataway Township, NJ 08854 | 2018-07-05 |
| 1649768326 | Madhusree Chowdhury | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, 675 Hoes Lane, Piscataway, NJ 08854 | 2018-04-27 |
| 1033635065 | Achieving Goals, LLC | Community Health Worker | 83 Kensington Drive, Piscataway, NJ 08854 | 2017-08-22 |
| 1750801650 | Neil O'connor | Case Manager/Care Coordinator | 151 Centenial Ave, Piscataway, NJ 08854 | 2017-06-21 |
| 1235680240 | Manthan Patel | Pharmacist | 1222 Hanover St, Piscataway, NJ 08854 | 2016-10-14 |
| Find all providers in zip 08854 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802949 | Bianca De Jesus Diaz | Psychologist | 130 Hardenburgh Ave, Demarest, NJ 07627-2159 | 2020-08-19 |
| 1225648645 | Jennifer T. Mascolo | Psychologist | 18 Kings Hwy Ste 109, Middletown, NJ 07748-2509 | 2020-08-01 |
| 1912527425 | Corrine R. Mccarthy | Psychologist | 89 French St Rm 2225, New Brunswick, NJ 08901-1935 | 2020-04-24 |
| 1437782596 | Allison Paige Hawkins | Psychologist | 127 2nd St, Keyport, NJ 07735-1809 | 2020-02-18 |
| 1831729904 | Idler Educational Testing Services LLC | Psychologist | 109 Mimosa Dr, Sewell, NJ 08080-2804 | 2020-01-17 |
| 1588208193 | Daniel Cherry | Psychologist | 658 Valley Rd Apt 1e, Montclair, NJ 07043-1450 | 2019-11-06 |
| 1649812066 | Ana A Del Rosario | Psychologist | 7 Ambler Rd, Cherry Hill, NJ 08002-1303 | 2019-10-17 |
| 1558828590 | Michael Mosher | Psychologist | 72 Unger Ave, Stanhope, NJ 07874-2209 | 2019-02-26 |
| 1255819793 | Jamel Gibbs | Psychologist | 300 Durham Ave, Metuchen, NJ 08840-1712 | 2018-08-06 |
| 1235651019 | Ava Caroline Lorenzo | Psychologist | 115 Provincetown Ct, Flemington, NJ 08822-2023 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
| City | PISCATAWAY |
| Zip Code | 08854 |
Please comment or provide details below to improve the information on DR. MASON SHEPHERD.
| 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.