Jackie Shepherd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2201 Tuolumne St
Vallejo, CA 94589-2524

Phone

(707) 558-1777

Fax

(707) 558-1770

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jackie Gainer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1881896181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 AMERICAN CANYON RD SPC 62",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945033017",
            "telephone_number": "707-558-1777",
            "fax_number": "707-558-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892524",
            "telephone_number": "707-558-1777",
            "fax_number": "707-558-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JACKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "GAINER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Anne Shelgren, DPT
• Eve Shelton
• Alexander Shen
• Monica Germaine Shepard
• Benita Shepherd
• Alan K Sher
• Brian Sherman, PPS
• Peter M. Sherris, MD
• Frank Shic, MD
• Lee A Shratter, M.D.

• Mental Health Counselor in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.