Ronald Demetruis Shead

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5030 El Camino Ave
Carmichael, CA 95608-4650

Phone

(916) 609-5122

Fax

(916) 609-5161

NPI assigned

Jun 21, 2008

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

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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1518128685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 BELL AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958382162",
            "telephone_number": "916-437-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 EL CAMINO AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084650",
            "telephone_number": "916-609-5122",
            "fax_number": "916-609-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEAD",
        "first_name": "RONALD",
        "middle_name": "DEMETRUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantal Shamoiel
• Maryanne K. Shannon, N.P.
• Amy Melissa Shapiro, RN, FNP
• Mohammed O Shareef, MD
• Aleksey Sharipov, PSYD
• Timothy Sheehy
• Tiffany Sheffield, M.S. CCC-SLP
• Laverne Jeanene Shell, MFT
• Sheng Ji DDS MD Inc
• Dana L Sheng, MD

• Mental Health Counselor in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.