Shppard Behavioral Care & Consulting

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHPPARD BEHAVIORAL CARE & CONSULTING

Practice address

21 Walnut Hill Rd
Derry, NH 03038

Phone

(978) 361-0627

NPI assigned

Dec 14, 2022

Organization subpart

Yes

Parent organization

SHEPPARD BEHAVIORAL CARE & CONSULTINGAs reported in NPPES

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

Authorized official

Name

Kristen Lynn Sheppard, MSW, LICSW

Title

Sole Proprieter

Phone

(508) 561-9559

Specialties & licenses 1

Addresses

Part of

Shppard Behavioral Care Consulting

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1871205559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WALNUT HILL RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "978-361-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WALNUT HILL RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "03038",
            "telephone_number": "978-361-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHPPARD BEHAVIORAL CARE & CONSULTING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHEPPARD BEHAVIORAL CARE & CONSULTING",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "508-561-9559",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Sheridan, M.ED., BCBA, LABA
• Carina Joanna Sherman, LICSW
• William M. Sherman Jr., M.D.
• Albert A Shigo, LICSW PHD
• Rajesh Shoor, DO
• Ginger Lynn Simonds, BA
• William Harold Simons, DPM
• Simply Orthodontics, NH, PC
• SJ Health LLC
• Colleen Skeirik, APRN

• Adult Mental Health Clinic/Center in Derry, NH
• Providers in Derry, NH by specialty
• Adult Mental Health Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.