Stephen Sheppard, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

353104-2501 Issued in UT

Practice address

30 N 1900 E
1R52 Som
Salt Lake City, UT 84132-2119

Phone

(801) 581-6228

Fax

(801) 585-6702

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1831230259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 CANYON VIEW DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092005",
            "telephone_number": "801-581-6228",
            "fax_number": "801-585-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "1R52 SOM",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322119",
            "telephone_number": "801-581-6228",
            "fax_number": "801-585-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "353104-2501",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "353104-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin H Shepherd
• Kathryn Shepherd
• Maryjane Shepherd, MD
• Melissa Dewey Shepherd, NP
• Rebecca D Sheppard
• Aimee Sheppick, RN
• Michael Nishan Sheranian I
• Joseph Robert Sherbotie
• Nathan Sherbotie
• Hannah Therese Sherfinski, MD-MPH

• Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.