MELISSA SHEPARD MD LLC NPI 1760131361

NPI Information

  • NPI: 1760131361
  • Provider Name: MELISSA SHEPARD, MD, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 65 DUKE ST STE 107
    PRINCE FREDERICK, MD
    ZIP 20678
  • Phone: (704) 274-2219

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NPI Details

MELISSA SHEPARD, MD, LLC is a mental health counselor in Prince Frederick, MD. MELISSA SHEPARD, MD, LLC NPI is 1760131361. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

65 DUKE ST STE 107
PRINCE FREDERICK, MD
ZIP 20678-128
Phone: (704) 274-2219
Fax: (704) 582-7160

The provider's authorized official is Martha Montjoy Kearse .
The authorized official title is Vice President and has the following contact phone number (704) 274-2219.

The enumeration date for this NPI number is 3/21/2022 and was last updated on 3/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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