Active NPI
Stephanie E Shepard, MD
- Psychiatry Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2015018629
- Practice address
- 3401 Berrywood Dr
Columbia, MO 65201-8372 - Phone
- (573) 777-8330
- Fax
- (573) 777-8390
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2013018529 | MO | |
| Psychiatry Physician | 2084P0800X | 2015018629 | MO | Primary |
Addresses
Primary practice location
3401 Berrywood Dr
Columbia, MO 65201-8372
Mailing address
2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000
Other practice location 1
301 W Martin St
Cairo, MO 65239-1006
Phone (573) 603-1460
Other practice location 2
4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460
Other practice location 3
800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735
Other practice location 4
900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962
Other practice location 5
1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500
Other practice location 6
17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975
Other practice location 7
201 W 3rd St
Sedalia, MO 65301-4352
Phone (660) 827-2494
Other practice location 8
210 W Williams St
Unit C
Moberly, MO 65270
Phone (660) 263-7651
Other practice location 9
725 Cleveland St
Paris, MO 65275-1119
Phone (573) 603-1460
Other practice location 10
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700
Other practice location 11
141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460
Other practice location 12
1 Healthcare Pl
Bowling Green, MO 63334-3602
Phone (573) 603-1460
Other practice location 13
1625 Gratz Brown St
Moberly, MO 65270-1994
Phone (573) 603-1460
Other practice location 14
400 Salisbury St
Montgomery City, MO 63361-1232
Phone (636) 224-1210
Other practice location 15
1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 603-1460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200028105 | Medicaid | MO |
Other names 1
- Dr. Stephanie E Irwin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013018529 | MO | MD | Psychiatry Physician |
| 2015018629 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burrell, Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc. | Current | Accepting new patients | |
| Burrell, Inc. | Current | Accepting new patients | |
| Preferred Family Healthcare, Inc | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111
301 W Martin St
Cairo, MO 65239
Phone (660) 263-2788
1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500
3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530
3401 Berrywood Dr
Ste 300
Columbia, MO 65201
Phone (573) 777-8330
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
4600 McMasters Ave
Hannibal, MO 63401
141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000
17886 E 23rd St S
Independence, MO 64057
Phone (816) 836-6705
900 E Laharpe St
Kirksville, MO 63501
1625 Gratz Brown St
Moberly, MO 65270
400 Salisbury St
Montgomery City, MO 63361
Phone (573) 564-2495
725 Cleveland St
Paris, MO 65275
4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630
201 W 3rd St
Sedalia, MO 65301
Phone (660) 827-2494
800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700
2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214
1300 E Bradford Pkwy
#H
Springfield, MO 65804
1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Burrell Behavioral Health
- Community/Behavioral Health Agency
- Springfield, MO
- NPI 1275541740
-
- Community/Behavioral Health Agency
- Kirksville, MO
- NPI 1649474206
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba Clarity Healthcare
- Federally Qualified Health Center (FQHC)
- Hannibal, MO
- NPI 1306721709
-
dba SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1245670744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 W BATTLEFIELD ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658073952",
"telephone_number": "417-761-5000",
"fax_number": "417-761-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 BERRYWOOD DR",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018372",
"telephone_number": "573-777-8330",
"fax_number": "573-777-8390"
}
],
"practiceLocations": [
{
"address_1": "301 W Martin St",
"address_purpose": "LOCATION",
"city": "Cairo",
"state": "MO",
"postal_code": "652391006",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4600 McMasters Ave",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634012244",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 S Park Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658024855",
"country_code": "US",
"telephone_number": "417-893-7735",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 E Laharpe St",
"address_purpose": "LOCATION",
"city": "Kirksville",
"state": "MO",
"postal_code": "635014520",
"country_code": "US",
"telephone_number": "660-665-1962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1805 E Walnut St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016425",
"country_code": "US",
"telephone_number": "573-777-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17421 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640571805",
"country_code": "US",
"telephone_number": "816-455-9975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 W 3rd St",
"address_purpose": "LOCATION",
"city": "Sedalia",
"state": "MO",
"postal_code": "653014352",
"country_code": "US",
"telephone_number": "660-827-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 W Williams St",
"address_2": "Unit C",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "65270",
"country_code": "US",
"telephone_number": "660-263-7651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Cleveland St",
"address_purpose": "LOCATION",
"city": "Paris",
"state": "MO",
"postal_code": "652751119",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4066 Dunnica Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631163510",
"country_code": "US",
"telephone_number": "636-224-1700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Communication Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634013670",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Healthcare Pl",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "MO",
"postal_code": "633343602",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1625 Gratz Brown St",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "652701994",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Salisbury St",
"address_purpose": "LOCATION",
"city": "Montgomery City",
"state": "MO",
"postal_code": "633611232",
"country_code": "US",
"telephone_number": "636-224-1210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1805 E Walnut St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652016425",
"country_code": "US",
"telephone_number": "573-603-1460",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPARD",
"first_name": "STEPHANIE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2013018529",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2015018629",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200028105",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "IRWIN",
"middle_name": "E",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.