Active NPI
Lynne Anne Shepherd, PSY.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1740587146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33022
- Practice address
- 9406 Bob White Dr
Houston, TX 77096-3708 - Phone
- (713) 303-2173
- NPI assigned
- Feb 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33022 | TX | Primary |
Addresses
Primary practice location
9406 Bob White Dr
Houston, TX 77096-3708
Mailing address
3418 Mercer St
Suite 201
Houston, TX 77027-6527
Phone (713) 303-2173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33022 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298246400000",
"number": "1740587146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 MERCER ST",
"address_2": "SUITE 201",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770276527",
"telephone_number": "713-303-2173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9406 BOB WHITE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770963708",
"telephone_number": "713-303-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "LYNNE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-21",
"last_updated": "2011-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.