Individual provider Active NPI

Robin Berry Shepherd, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1245760420
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10239 Issued in AZ
Practice address
4330 E University Dr
Mesa, AZ 85205-7004
Phone
(480) 218-3280
NPI assigned
Jun 19, 2017
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10239 AZ Primary

Addresses

Primary practice location

4330 E University Dr
Mesa, AZ 85205-7004

Mailing address

PO Box 394
Higley, AZ 85236-0394
Phone (480) 286-2347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719001821 AZ Practitioner - Nurse Practitioner 9739459025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

4330 E University Dr
East Valley Campus
Mesa, AZ 85205-7004
Phone (480) 218-3280

450 W Adamsville Rd
Florence, AZ 85132-8582
Phone (520) 836-1688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10239AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Partners in Recovery, LLC CurrentSince Jul 1, 2017 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Partners in Recovery, LLC CurrentSince Jul 1, 2017 Accepting new patients
Southwest Behavioral Health Services CurrentSince Feb 22, 2023 Accepting new patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Feb 12, 2019 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Feb 12, 2019 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688

450 W Adamsville Rd
Florence, AZ 85132
Phone (520) 296-7169

4330 E University Dr
Mesa, AZ 85205
Phone (480) 218-3280

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

791 S 4th Ave
Ste B
Yuma, AZ 85364
Phone (928) 329-4322

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1245760420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "HIGLEY",
            "state": "AZ",
            "postal_code": "852360394",
            "telephone_number": "480-286-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 E UNIVERSITY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057004",
            "telephone_number": "480-218-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "ROBIN",
        "middle_name": "BERRY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.