Individual provider Active NPI

Aaron Michael Shepherd, M.A., PSY.S.

  • Clinical Psychologist
  • Farmington, MI
National Provider Identifier
1952554040
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012538 Issued in MI
Practice address
38345 West 10 Mile Road Suite 150
Farmington, MI 48335
Phone
(734) 756-1214
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301012538 MI Primary

Addresses

Primary practice location

38345 West 10 Mile Road Suite 150
Farmington, MI 48335

Mailing address

38345 W 10 Mile Rd Ste 150
Farmington, MI 48335-2883
Phone (734) 756-1214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180308002466 MI Practitioner - Clinical Psychologist 0749541647 Practice locations: Northville, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301012538MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1952554040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38345 W 10 MILE RD STE 150",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483352883",
            "telephone_number": "734-756-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 WEST 10 MILE ROAD SUITE 150",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "48335",
            "telephone_number": "734-756-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "AARON",
        "middle_name": "MICHAEL",
        "credential": "M.A., PSY.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.