Joshua Shane Shepherd, CPSP

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

NYCPS-P-46310 Issued in NY

Practice address

115 Delafield St
Poughkeepsie, NY 12601-1749

Phone

(845) 790-6036

Fax

(845) 790-6036

NPI assigned

Jul 29, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1114800059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAGRANGE AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032411",
            "telephone_number": "914-203-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DELAFIELD ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011749",
            "telephone_number": "845-790-6036",
            "fax_number": "845-790-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JOSHUA",
        "middle_name": "SHANE",
        "credential": "CPSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P-46310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caeley Sheehan, DO
• Leroy Kenneth Sheffer, DDS
• Abdul Basit Sheikh, MD
• Abdul-Haseeb Sheikh, MD
• Wen Shen, MD
• Kelly Shepherd, CASAC-T
• Warren Sheprow, PA
• Danielle N Sheridan, OT
• Edward Carl Sherman
• Reuven Sherman

• Peer Specialist in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.