Jordan Shepherd

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

LBA00238 Issued in RI

Practice address

600 Toll Gate Rd
Warwick, RI 02886-2717

Phone

(401) 477-9495

Fax

(401) 205-3582

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Strides Behavioral Services, LLC

  • Behavior Analyst
  • Warwick, RI
  • NPI 1013505676
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1356947618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862717",
            "telephone_number": "401-477-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862717",
            "telephone_number": "401-477-9495",
            "fax_number": "401-205-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "RI",
            "license": "LBA00238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013505676",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheehan Psychotherapy Associates, Inc
• Helen Frances Sheehan, LICSW
• Joan Sheff, MSW
• Carol A. Shelton, C.R.T.
• Amy Shenk, MA SLP CCC
• Stacy L. Sherring, RN
• Shi-II Warwick, LLC
• Mary Shiel-L'Esperance, PT
• Kathleen Shilko, LDN
• Kenneth Joon Shin, DPT

• Behavior Analyst in Warwick, RI
• Providers in Warwick, RI by specialty
• Behavior Analyst in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.