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ROBERT J. SHEPPARD PHD PLLC
NPI 1083213631
Psychologist - Clinical in Portage, MI

Active since October 23, 2020
8339 BROOKWOOD DR, PORTAGE, MI 49024(269) 303-6296 Get Directions Write a Review

NPPES record last updated: October 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert J. Sheppard Phd Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT J. SHEPPARD PHD PLLC (NPI 1083213631) is a healthcare organization registered as a clinical in Portage, Michigan and active in the NPI registry since October 2020. The organization lists Robert J. Sheppard, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1083213631
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameROBERT J. SHEPPARD PHD PLLC
Location Address8339 BROOKWOOD DRPortage, MI 49024-5207
Mailing Address8339 Brookwood DrPortage, MI 49024-5207 · (269) 303-6296
Phone(269) 303-6296
Organization SubpartNo
Authorized OfficialRobert J. SheppardPsychologist · (269) 303-6296
Enumeration DateOctober 23, 2020
Last NPPES UpdateOctober 24, 2020
NPPES CertifiedOctober 24, 2020
✔ NPI 1083213631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
8339 BROOKWOOD DR, Portage, MI 49024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert J. Sheppard Phd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert J. Sheppard Phd PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Sheppard, PHD
Clinical Psychologist
NPI 1457333692
5340 HOLIDAY TER
Kalamazoo, MI 49009
(269) 372-4140
✔ PECOS✔ Accepts Medicare5.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert J. Sheppard Phd PLLC's NPI number?

The NPI number for Robert J. Sheppard Phd PLLC is 1083213631. It was assigned to this organization in the NPPES registry on October 23, 2020.

Where is Robert J. Sheppard Phd PLLC located?

Robert J. Sheppard Phd PLLC is located at 8339 Brookwood Dr, Portage, MI 49024. The listed phone number is (269) 303-6296.

What is Robert J. Sheppard Phd PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Robert J. Sheppard Phd PLLC enrolled in Medicare?

Yes. Robert J. Sheppard Phd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert J. Sheppard Phd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Robert J. Sheppard Phd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Robert J. Sheppard Phd PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Robert J. Sheppard Phd PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert J. Sheppard Phd PLLC was last updated on October 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.