DR. JONATHAN JOEL SHEPHERD (NPI# 1902096050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902096050 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN JOEL SHEPHERD |
| Credential | M.D. |
| Practice Address |
6707 Whitestone Rd Suite 106 Woodlawn MD 21207-4106 |
| Mailing Address |
18 Breton Hill Rd Apt. #3b Pikesville MD 21208-2716 |
| Practice Telephone | 4102658737 |
| Practice Fax Number | 4102651258 |
| Mailing Telephone | 3123917437 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
D0070538 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114048329 | Jonathan Paul Shepherd | Obstetrics & Gynecology | 114 Woodland St Dept Of, Hartford, CT 06105-1208 | 2007-04-03 |
| Street Address |
6707 WHITESTONE RD SUITE 106 |
| City | WOODLAWN |
| State | MD |
| Zip Code | 21207-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171856 | Joanna Ubiwa | Counselor | 6707 Whitestone Rd, Woodlawn, MD 21207-4106 | 2019-06-05 |
| 1760046494 | Miriam Schwartz | Social Worker | 6707 Whitestone Rd, Woodlawn, MD 21207-4106 | 2019-04-29 |
| 1316345507 | Rodney L. Parker | Counselor | 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207-4106 | 2014-12-20 |
| 1477951309 | Yael Friedman | Counselor | 6707 Whitestone Rd, Woodlawn, MD 21207-4106 | 2014-12-09 |
| 1699173633 | Lisa Miller | Social Worker | 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207-4106 | 2014-12-08 |
| 1861890964 | Christin Moon | Social Worker | 6707 Whitestone Rd, Woodlawn, MD 21207-4106 | 2014-12-05 |
| 1639589559 | Hayley J. Kline | Social Worker | 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207-4106 | 2014-04-30 |
| 1043620297 | Sarah Bolling | Social Worker | 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207-4106 | 2014-04-28 |
| 1861812091 | Nicole Green | Counselor | 6707 Whitestone Rd, 106, Woodlawn, MD 21207-4106 | 2014-04-28 |
| 1740600956 | Lauren Alexander | Social Worker | 6707 Whitestone Rd, Suite 106, Woodlawn, MD 21207-4106 | 2014-04-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1891328431 | Day-by-day Healthcare LLC | Home Health Aide | 6817 Fox Meadow Rd, Gwynnoak, Baltimore, MD 21207 | 2020-02-21 |
| 1366005944 | Lacey Murphy | Social Worker | 6201 Liberty Road, Baltimore, MD 21207 | 2019-04-18 |
| 1811453368 | Pamela Powell | Social Worker | 5025 Dickey Hill Rd, Baltimore, MD 21207 | 2019-02-20 |
| 1568932176 | Reflections Counseling & Consulting | Community/Behavioral Health | 6901 Brightway, Unit F, Gwynn Oak, MD 21207 | 2018-11-27 |
| 1255849394 | Therapetic Wellness Services | Community/Behavioral Health | 4909 Liberty Heights Ave, Baltimore, MD 21207 | 2018-01-10 |
| 1922525252 | Passionate Hands Transitional Housing | Clinic/Center | 4711 Liberty Heights Avenue, Baltimore, MD 21207 | 2017-08-28 |
| 1528427689 | Stephen James Allen | Occupational Therapy Assistant | 4107 Liberty Heights Ave, Baltimore, MARYLAND 21207 | 2016-02-17 |
| 1255720439 | Dawn James | Counselor | 6401 Dogwood Road, Suite 201, Gwynn Oak, MD 21207 | 2015-01-12 |
| 1407251168 | Allcare International, Inc | Day Training, Developmentally Disabled Services | 3402 Milford Ave, Baltimore, MD 21207 | 2014-10-23 |
| Find all providers in zip 21207 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302442 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 532 Baltimore Blvd Ste 403, Westminster, MD 21157-6146 | 2020-10-07 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1043798663 | Miguel J Macaoay Md, Pa | Psychiatry & Neurology | 511 Jermor Ln Ste 105, Westminster, MD 21157-6152 | 2018-08-06 |
| 1619498383 | Island Care Mental Health | Psychiatry & Neurology | 11022 Nicholas Lane, Unit 2 Suite1 Village Square Center, Berlin, MD 21811-1663 | 2017-07-03 |
| 1932592441 | New Providence Healthcare Associates Inc. | Psychiatry & Neurology | 145 Fleet St Ste 136, C/o New Providence Healthcare Associates Inc., Oxon Hill, MD 20745-1548 | 2015-03-07 |
| 1578979951 | Sa Eun Park | Psychiatry & Neurology | 1800 Orleans St Fl Center12, Baltimore, MD 21287-0010 | 2014-07-07 |
| 1295149920 | Munjerina Ahmd Munmun | Psychiatry & Neurology | 41900 Fenwick St Ste 1, Leonardtown, MD 20650-3815 | 2014-06-20 |
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1548502362 | Dina Marie Sztein | Psychiatry & Neurology | 9841 Broken Land Pkwy Ste 211, Columbia, MD 21046 | 2013-03-19 |
| 1902171374 | Coleen Marie Schrepfer | Psychiatry & Neurology | 1501 Sulgrave Ave Ste 200, Baltimore, MD 21209 | 2012-03-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.