Sofia Shepsis, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2720 Issued in OR

Practice address

1130 SW Morrison St
Portland, OR 97205-2234

Phone

(503) 912-4060

NPI assigned

Oct 28, 2010

Last updated

Feb 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1437459039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 NW RIGGS DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972298093",
            "telephone_number": "503-912-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SW MORRISON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052234",
            "telephone_number": "503-912-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPSIS",
        "first_name": "SOFIA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sheppard
• Patrick Sheppard
• Timothy Carl Sheppard
• Samantha Sheppeard
• Alicia D Sheprow, PA
• Jeffrey D Sher, PSY.D.
• Kathleen Sher, M.D.
• Carol Elliott Sherbenou, LCSW
• Vandy Lee Sherbin, MD
• Elena Sherbina, RDH, BS

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.