Active NPI
Janet S Shepherd, PH.D.
- Clinical Psychologist
- Iowa City, IA
National Provider Identifier
1336365683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 639
- Practice address
- 221 E College St
Suite 211
Iowa City, IA 52240-1699 - Phone
- (319) 337-3313
- Fax
- (319) 656-4223
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 639 | IA | Primary |
Addresses
Primary practice location
221 E College St
Suite 211
Iowa City, IA 52240-1699
Mailing address
835 Saint Anne Dr
Iowa City, IA 52245-5635
Phone (319) 354-4621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639 | IA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336365683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SAINT ANNE DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522455635",
"telephone_number": "319-354-4621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E COLLEGE ST",
"address_2": "SUITE 211",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522401699",
"telephone_number": "319-337-3313",
"fax_number": "319-656-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "JANET",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IA",
"license": "639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.