Vance Lee Shepperson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 6775 Issued in CA

Practice address

1619 E Chapman
Fullerton, CA 92831-3132

Phone

(714) 992-4240

Fax

(714) 992-5259

NPI assigned

Dec 4, 2006

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

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sophia Wang and Associates, Inc.Group PAC ID 2163618190, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Sophia Wang & Associates, Inc.

  • Clinical Psychologist
  • Kailua Kona, HI
  • NPI 1184882177
  Medicare reassignment Care Compare group NPD
• Center for Integrative Therapy

  • Clinical Psychologist
  • Kailua Kona, HI
  • NPI 1346447976
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1437217445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4938",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967454938",
            "telephone_number": "808-329-7176",
            "fax_number": "808-326-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 E CHAPMAN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313132",
            "telephone_number": "714-992-4240",
            "fax_number": "714-992-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPERSON",
        "first_name": "VANCE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 6775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shebani Sethi, M.D., P.C.
• Arman Sheibanikia, M.D
• Scott P Shenosky Jr.
• Shepperson Psych Assoc Incorporated
• Bethyl Joy Shepperson, PSY.D.
• Joy Sheriff
• Tylah Sherlock
• Gail Sherman
• Fnu Sheryl Felix
• Tommy Sheu, MD

• Clinical Psychologist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.