Kevin McCrae Shepard, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3450 Issued in NC

Practice address

Counseling and Wellness Services
Campus Box 7470
Chapel Hill, NC 27599-7470

Phone

(919) 966-3658

Fax

(919) 966-4605

NPI assigned

Jun 14, 2010

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1346561362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COUNSELING AND WELLNESS SERVICES",
            "address_2": "CAMPUS BOX 7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-3658",
            "fax_number": "919-966-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COUNSELING AND WELLNESS SERVICES",
            "address_2": "CAMPUS BOX 7470",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997470",
            "telephone_number": "919-966-3658",
            "fax_number": "919-966-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "KEVIN",
        "middle_name": "MCCRAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NC",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anat Shemer
• Anita Shen, PT
• Colette Joan Shen, MD
• Sarek Alexander Shen, MD
• Christina Lorraine Shenvi, MD, PHD
• Matthew Edward Shepard
• Hazel I Shepherd, PNP
• Casey Poff Sheppard, PT
• Daniel Robert Sheradin, D.C.
• Laura Marie Sheridan

• Counseling Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Counseling Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.