NPIMap

Organization Active NPI

Shepperson Psych Assoc Incorporated

  • Clinical Psychologist
  • Fullerton, CA
National Provider Identifier
1063637049
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 6775 Issued in CA
Legal business name
SHEPPERSON PSYCH ASSOC INCORPORATED
Practice address
2501 E Chapman Ave
#200
Fullerton, CA 92831-3132
Phone
(714) 992-4240
Fax
(714) 992-5259
NPI assigned
Apr 16, 2007
Last updated
Mar 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Vance Lee Shepperson, PHDNPI 1437217445
Title
Clinical Psychologist
Phone
(714) 992-4240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 6775 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave
#200
Fullerton, CA 92831-3132

Mailing address

2501 E Chapman Ave
#200
Fullerton, CA 92831-3132
Phone (714) 992-4240

National Provider Directory

National Provider Directory

Locations

2501 E Chapman Ave
Ste 200
Fullerton, CA 92831
Phone (714) 749-6953

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1063637049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "address_2": "#200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313132",
            "telephone_number": "714-992-4240",
            "fax_number": "714-992-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE",
            "address_2": "#200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313132",
            "telephone_number": "714-992-4240",
            "fax_number": "714-992-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPERSON PSYCH ASSOC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "SHEPPERSON",
        "authorized_official_first_name": "VANCE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-992-4240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 6775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.