George Roy Shepeard III, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY-5830 Issued in FL

Practice address

2741 Executive Park Dr Ste 1
Weston, FL 33331-3641

Phone

(954) 385-6750

NPI assigned

Mar 17, 2013

Last updated

Mar 17, 2013By the provider in NPPES

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 FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. George Shepeard PA

  • Clinical Psychologist
  • Davie, FL
  • NPI 1710444021
  NPD Authorized official
• Inpsych Consultants, P.a.

  • Clinical Psychologist
  • Weston, FL
  • NPI 1952629933
  Medicare reassignment
• Dr. Michelle Channing PA

  • Clinical Psychologist
  • Weston, FL
  • NPI 1417037102
  NPD

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

{
    "created_epoch": "1363478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363478400000",
    "number": "1679815633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-385-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 EXECUTIVE PARK DR STE 1",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313641",
            "telephone_number": "954-385-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPEARD",
        "first_name": "GEORGE",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-17",
        "last_updated": "2013-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY-5830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Sharpe, LMHC
• Catherine Elizabeth Shea, PSY.D.
• Daniel Shedid, M.D.
• Michael Albert Sheffield, PSYD
• Michael Y Shen, M.D.
• Julie Fisher Sherman, M.ED/ED.S
• Richard Sherman
• Ronald Eugene Sherry
• Ann-Marie Shields, APRN
• Jacqueline Shinall, PSYD

• Psychologist in Weston, FL
• Providers in Weston, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.