M S SHEPARD PSYD LLC (NPI# 1730439449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730439449 |
| Entity Type | Organization |
| Organization Name | M S SHEPARD PSYD LLC |
| Other Organization Name | MICHAEL S SHEPARD PSYD |
| Practice Address |
2775 S Jones Blvd 101 Las Vegas NV 89146-5631 |
| Practice Telephone | 7023265390 |
| Practice Fax Number | 7025863333 |
| Mailing Telephone | 7023265390 |
| Mailing Fax Number | 7025863333 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | ANGELA MCGUIRE (CREDENTIALING/ BILLER) |
| Authorized Official Telephone | 7027767732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0540 | NV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE | PY 0540 | 01 |
| Other Name | Type Code |
|---|---|
| Michael S Shepard PsyD | Doing Business As Name - Organization |
| Street Address |
2775 S JONES BLVD 101 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780756874 | Andrea M Scott | Counselor | 2775 S Jones Blvd, Ste. 101, Las Vegas, NV 89146-5631 | 2006-11-14 |
| 1881240216 | Valerie Siazon | Psychiatry & Neurology | 2775 S Jones Blvd, Las Vegas, NV 89146-5631 | 2019-08-12 |
| 1457752008 | Jesse Leavitt | Counselor | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2014-09-12 |
| 1467851782 | Jethro Apostol | Counselor | 2775 S Jones Blvd, Las Vegas, NV 89146-5631 | 2014-08-22 |
| 1841638889 | Timothy Ortiz | Counselor | 2775 S Jones Blvd, Suit 101, Las Vegas, NV 89146-5631 | 2013-06-12 |
| 1487904447 | Barbara Ann Spanjers | Marriage & Family Therapist | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2012-09-17 |
| 1639434582 | Patrick Robert Booth | Counselor | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2012-07-06 |
| 1285999243 | Elizabeth Ann Price | Personal Emergency Response Attendant | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2012-07-05 |
| 1811259583 | Kathleen Frey | Personal Emergency Response Attendant | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2012-06-08 |
| 1891071221 | Annette Marie Walker | Rehabilitation Practitioner | 2775 S Jones Blvd, Suite 101, Las Vegas, NV 89146-5631 | 2011-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381612 | Britney Lillian Alford | Psychologist | University of Nevada Las Vegas, 4505 S. Maryland Parkway, Las Vegas, NV 89154 | 2019-11-21 |
| 1760027213 | Legacy Counseling and Workforce Connections | Psychologist | 4170 S Decatur Blvd Ste 9, Las Vegas, NV 89103-5861 | 2019-11-07 |
| 1467019125 | Southern Nevada Psychological Services | Psychologist | 2770 S. Maryland Pkwy Ste. 105, Las Vegas, NV 89109-1568 | 2019-05-28 |
| 1831662725 | Anna Darbonne-bjorndal | Psychologist | 8430 W Lake Mead Blvd Ste 111, Las Vegas, NV 89128-7672 | 2019-01-03 |
| 1609358472 | Helping Heart LLC | Psychologist | 2855 W Pebble Rd Unit 303, Las Vegas, NV 89123-6504 | 2018-08-29 |
| 1285148890 | Amanda Devillez | Psychologist | 5550 W Flamingo Rd Ste B, Las Vegas, NV 89103-2334 | 2017-11-20 |
| 1699169318 | Rosalie Adriano | Psychologist | 7761 Tattersall Flag St, Las Vegas, NV 89139-6406 | 2015-03-19 |
| 1538566377 | Jennifer D Karmely Ph D, Pllc | Psychologist | 3196 S Maryland Pkwy Ste 400, Las Vegas, NV 89109-2315 | 2014-11-21 |
| 1740610278 | Brian Potts | Psychologist | 4029 Dean Martin Dr, Las Vegas, NV 89103-4138 | 2013-11-19 |
| 1417200262 | Stephanie A Stowman, Phd | Psychologist | 4055 Spencer St, Suite 126, Las Vegas, NV 89119-9303 | 2012-10-17 |
| Find all providers in LAS VEGAS | ||||
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| 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.