Shepard Jay Greene, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A51910 Issued in CA

Practice address

555 Hospital LN
Susanville, CA 96130-4918

Phone

(530) 251-8108

NPI assigned

Feb 22, 2007

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeview Horizon Psychiatric Nursing Services PCGroup PAC ID 0648649699, 2 clinicians

Lucid Behavioral HealthGroup PAC ID 0648717595, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Lakeview Horizon Psychiatric Nursing Services Professional Corporation

  • Behavioral Neurology & Neuropsychiatry Physician
  • Oroville, CA
  • NPI 1669197265
  Medicare reassignment Care Compare group NPD
• Lucid Life Behavioral Health Medical Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Barbara, CA
  • NPI 1841047511
  Medicare reassignment Care Compare group NPD (past)
• County of Lassen

  • Mental Health Counselor
  • Susanville, CA
  • NPI 1871648055
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1639204357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304918",
            "telephone_number": "530-251-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HOSPITAL LN",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304918",
            "telephone_number": "530-251-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "SHEPARD",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A51910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June Lounette Glenn-Lawson, MD
• Deanne Glenn
• Leslie Goni
• Billy Green
• Charles Gary Green, MD
• Gregory Valceschini, M.D. Professional Corporation
• Natalie Karso Grinnell
• Pamela Anne Grosso
• Kelly Marie Hall
• Ronda Kay Hall, MS,CCHW

• Psychiatry Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.