Active NPI
Thomasine Shepard, MA
- Marriage & Family Therapist
- Burbank, CA
National Provider Identifier
1760729818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 84324
- Practice address
- 3808 W Riverside Dr
Ste 301
Burbank, CA 91505-4325 - Phone
- (818) 741-2899
- NPI assigned
- Jan 9, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 84324 | CA | Primary |
Addresses
Primary practice location
3808 W Riverside Dr
Ste 301
Burbank, CA 91505-4325
Mailing address
11012 Ventura Blvd
Ste. 78
Studio City, CA 91604-3546
Phone (818) 741-2899
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84324 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460592000000",
"number": "1760729818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11012 VENTURA BLVD",
"address_2": "STE. 78",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043546",
"telephone_number": "818-741-2899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 W RIVERSIDE DR",
"address_2": "STE 301",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054325",
"telephone_number": "818-741-2899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPARD",
"first_name": "THOMASINE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-09",
"last_updated": "2016-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "84324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.