Kiamesha Toye Shepherd

Primary specialty

Social WorkerTaxonomy code 104100000X

License

112118 Issued in NY

Practice address

6210 Cherry Hill Dr
Poughkeepsie, NY 12603-1707

Phone

(845) 546-6490

NPI assigned

May 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coordinated Behavioral Care Ipa Inc

  • Multi-Specialty Clinic/Center
  • Bronx, NY
  • NPI 1457881443
  NPD (past)
• Queens Village Committee for Mental Health for J-Cap, Inc

  • Multi-Specialty Clinic/Center
  • Jamaica, NY
  • NPI 1679641757
  NPD (past)

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1407413842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 E BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104573712",
            "telephone_number": "718-583-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 CHERRY HILL DR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126031707",
            "telephone_number": "845-546-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOYE SHEPHERD",
        "first_name": "KIAMESHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "112118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Torres
• Eppie Torres, SOCIAL WORKER
• Richard Anthony Tota, RPH
• Eldene Gwen Towey, MD
• Ajibola Olawanle Toye Shepherd
• Farah Toyserkani, MD
• Suzanne Elizabeth Trachtenberg, SLP
• Julie Tram, MD
• Elizabeth Farmer Trampenau
• Frances Hewlett Traver, NP

• Social Worker in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.