Sheppard Salusky, PH.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1014 Issued in WA

Legal business name

SHEPPARD SALUSKY, PH.D., PLLC

Practice address

1800 Westlake Ave N
Seattle, WA 98109-2704

Phone

(206) 285-6915

Fax

(206) 285-1139

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Sheppard Salusky, PH.D.NPI 1891919197

Title

Member

Phone

(206) 285-6915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheppard Salusky, PH.D.

  • Psychologist
  • Seattle, WA
  • NPI 1891919197
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1548409642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092704",
            "telephone_number": "206-285-6915",
            "fax_number": "206-285-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WESTLAKE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092704",
            "telephone_number": "206-285-6915",
            "fax_number": "206-285-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPPARD SALUSKY, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "SALUSKY",
        "authorized_official_first_name": "SHEPPARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "206-285-6915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "1014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Fernandes Shepherd, MD
• Ashley Shepherd
• Edwin Shepherd III, DC
• Joann Shepherd, MA, CDP, LMHC
• Sarah Shepherd
• Cameron Sheppard, RN
• David P Sheppard, PHD
• Marcus Sheppard, NP
• Tabetha Ann Sheppard
• Jessica Sher

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.