Sheepdog Fitness, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHEEPDOG FITNESS, LLC

Practice address

34207 Pacific Coast Hwy Ste a
Dana Point, CA 92629-2849

Phone

(949) 291-1283

NPI assigned

Jul 9, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Ann Telford, MSK

Title

President

Phone

(949) 291-1283

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1790337848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34207 PACIFIC COAST HWY STE A",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292849",
            "telephone_number": "949-291-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34207 PACIFIC COAST HWY STE A",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926292849",
            "telephone_number": "949-291-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEEPDOG FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "TELFORD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-291-1283",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSK"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Schoenfeld, PHD, DCM-P, BCC
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• Shannan Selby
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• Sheer Recovery LLC
• Michelle Judy Sherman, RPH, APH
• Lorraine Ann Sherrie, COTA/C
• Michelle Shickler
• Aansi Shukla

• Adult Mental Health Clinic/Center in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.