June Ellen Shepherd, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

24847 Issued in TX

Practice address

Mental Health Clinic, 27 TH Special Operations Group
208 Casablanca
Cannon Afb, NM 88103-5014

Phone

(575) 784-1108

NPI assigned

Jul 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Creative Solutions Behavioral Health, PLLC

  • Clinical Psychologist
  • Cedar Park, TX
  • NPI 1649824822
  NPD (past)
• Samantha J Vigneri

  • Social Worker
  • Hempstead, TX
  • NPI 1073617684

  Psychologist

  NPD (past)
• Samantha J Vigneri

  • Psychiatry Physician
  • Hempstead, TX
  • NPI 1861420515

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1477577641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 CALHOUN ST.",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "512-789-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MENTAL HEALTH CLINIC, 27 TH SPECIAL OPERATIONS GROUP",
            "address_2": "208 CASABLANCA",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035014",
            "telephone_number": "575-784-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JUNE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Markeeta Sales, DNP, APRN, WHNP-BC
• David A Sarnow, M.D., MPH
• Ray Leroy Schatz III, IDMT
• Kelly Amanda Schneider, DDS
• Richard James Serkowski, DO, MPH, CPE
• Luke Smith, DMD
• Nicholas Kenneth Smythe III, PH.D. IN PROGRESS
• Andrew Springstead
• Justin D Sterett, M.D.
• Adam John Taylor, LCSW

• Psychologist in Cannon Afb, NM
• Providers in Cannon Afb, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.