Organization Active NPI

Sheppard & Associates Psychological Services, Inc.

  • Clinical Psychologist
  • Louisville, KY
National Provider Identifier
1154542959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1324 Issued in KY
Legal business name
SHEPPARD & ASSOCIATES PSYCHOLOGICAL SERVICES, INC.
Practice address
2915 Frankfort Ave
Ste. E
Louisville, KY 40206-2682
Phone
(502) 893-4042
Fax
(502) 893-4043
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tony L Sheppard, PSYD
Title
President Psychologist
Phone
(502) 893-4042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1324 KY Primary

Addresses

Primary practice location

2915 Frankfort Ave
Ste. E
Louisville, KY 40206-2682

Mailing address

2915 Frankfort Ave
Ste. E
Louisville, KY 40206-2682
Phone (502) 893-4042

National Provider Directory

National Provider Directory

Locations

2915 Frankfort Ave
Ste E
Louisville, KY 40206
Phone (502) 432-1611

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154542959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 FRANKFORT AVE",
            "address_2": "STE. E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062682",
            "telephone_number": "502-893-4042",
            "fax_number": "502-893-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 FRANKFORT AVE",
            "address_2": "STE. E",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062682",
            "telephone_number": "502-893-4042",
            "fax_number": "502-893-4043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD & ASSOCIATES PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "502-893-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.