M S Shepard PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0540 Issued in NV

Legal business name

M S SHEPARD PSYD LLC

Practice address

2775 S Jones Blvd
101
Las Vegas, NV 89146-5631

Phone

(702) 326-5390

Fax

(702) 586-3333

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Angela McGuire

Title

Credentialing/ Biller

Phone

(702) 776-7732

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael S Shepard PsyD Doing business as

Practitioners 1

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

• Michael S. Shepard, PSY.D.

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1942474937
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1730439449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 S JONES BLVD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465631",
            "telephone_number": "702-326-5390",
            "fax_number": "702-586-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 S JONES BLVD",
            "address_2": "101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465631",
            "telephone_number": "702-326-5390",
            "fax_number": "702-586-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M S SHEPARD PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING/ BILLER",
        "authorized_official_telephone_number": "702-776-7732"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PY 0540",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael S Shepard PsyD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• M and M Paige, Inc.
• M Balasubramanian MD Inc
• M Harris & Associates LLC
• M Harris & Associates LLC
• M R Valles Healthcare P C Inc
• M T Rahim MD PLLC
• M Ward S Surgical Associates
• M-L Psychiatry
• M. RX LLC
• M.C.a Enterprises Professional LLC

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.