Michael Lawrence Shepherd, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101054618 Issued in VA

Practice address

415 East Market St
Executive Suites Room 25
Charlottesville, VA 22902-5264

Phone

(434) 220-8062

NPI assigned

Nov 20, 2012

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

Credentials

Doctor of Medicine

State licenses

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.

• Comprehensive Health Systems,PLC

  • Psychiatry Physician
  • Staunton, VA
  • NPI 1649376450
  NPD (past)

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1669716254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 EAST MARKET STREET",
            "address_2": "EXECUTIVE SUITES ROOM 25",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025264",
            "telephone_number": "434-220-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 EAST MARKET ST",
            "address_2": "EXECUTIVE SUITES ROOM 25",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025264",
            "telephone_number": "434-220-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MICHAEL",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101054618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer LB Shenk, LPC
• Jaclyn Surles Shepard, PSYD
• Zachary Shepard
• Andrea K Shepherd, FNP
• Danielle Ashley Shepherd, RN
• Kathryn Lynn Shepley, NP
• Chelsea Anne Sheppard, M.D.
• Peter L. Sheras, PH.D.
• Carolyn M Sherer, PSY.D.
• Steven D Sherman, PHARM D.

• Psychiatry Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.