Sara D. Shepherd, PH.D., PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SARA D. SHEPHERD, PH.D., PC

Practice address

62 Lenox Pointe NE Ste B
Atlanta, GA 30324-7410

Phone

(404) 842-0555

Fax

(404) 842-0556

NPI assigned

Dec 15, 2009

Organization subpart

No

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

Authorized official

Name

Sara Dillon Shepherd, PH.D.

Title

Psychologist/Ceo

Phone

(404) 842-0555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1104155563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 LENOX POINTE NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247410",
            "telephone_number": "404-842-0555",
            "fax_number": "404-842-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 LENOX POINTE NE STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303247410",
            "telephone_number": "404-842-0555",
            "fax_number": "404-842-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA D. SHEPHERD, PH.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-15",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "DILLON",
        "authorized_official_title_or_position": "PSYCHOLOGIST/CEO",
        "authorized_official_telephone_number": "404-842-0555",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.