James G Shepherd Jr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23151 Issued in CA

Practice address

24800 Chrisanta Dr
Suite 260
Mission Viejo, CA 92691-4833

Phone

(949) 462-9114

NPI assigned

Nov 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Behavioral Assessment Center of South Orange County

  • Psychiatry Physician
  • Mission Viejo, CA
  • NPI 1730067927
  NPD (past)

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1942538640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "949-462-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 CHRISANTA DR",
            "address_2": "SUITE 260",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914833",
            "telephone_number": "949-462-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Danielle Sheehan, FNP-BC
• Todd Roy Sheets, D.C.
• Cathy Ann Sheetz, PT, DPT
• Sheila Mt Luwiharto DDS Ms PC
• Stacey Sheller, LMFT
• Lauren Sherrell, L.AC.
• Sherwin Arman, DMD, Inc.
• Willilam C Shiel, M.D.
• Diana Shipley-Miltenburg, LCSW
• Sahar Shiraj, MD

• Clinical Psychologist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.