Shepherds Lodge Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

701 Issued in VA

Legal business name

SHEPHERDS LODGE INC.

Practice address

3337 Killian Ave
Portsmouth, VA 23704-6024

Phone

(757) 393-3408

Fax

(757) 397-0316

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie R Guess, B.S.

Title

Executive Director

Phone

(757) 477-5957

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689687832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 KILLIAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046024",
            "telephone_number": "757-393-3408",
            "fax_number": "757-397-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 KILLIAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237046024",
            "telephone_number": "757-393-3408",
            "fax_number": "757-397-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS LODGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUESS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-477-5957",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E Sheffield, LPC, LMFT
• Yarrow Sheldon
• Jane Elizabeth Shelley, MD
• Chelsea Shelton, RO, ABOC
• Laura Shepherd
• Craig Douglas Shepps, MD
• Peter D Sherrod, MD
• Heather Shibley, MD
• Shine the Light, Inc.
• Hannah Shinn

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.