JIMMY LEE MATTO-SHEPARD PH.D.
NPI 1205036357
Psychologist in Petaluma, CA

Active since July 18, 2007
1 BODEGA AVE, SUITE #4, PETALUMA, CA 94952(707) 762-1670 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jimmy Lee Matto-shepard Ph.d. NPPES

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

JIMMY LEE MATTO-SHEPARD PH.D. (NPI 1205036357) is an individual psychologist in Petaluma, California, licensed in California (PSY15031) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1205036357
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJIMMY LEE MATTO-SHEPARDCredential: PH.D.
Location Address1 BODEGA AVE, SUITE #4Petaluma, CA 94952-2666
Mailing Address1 Bodega Ave, Suite #4Petaluma, CA 94952-2666 · (707) 762-1670
Sole ProprietorYes
Enumeration DateJuly 18, 2007
NPI 1205036357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY15031
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1 BODEGA AVE, Petaluma, CA 94952

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1 BODEGA AVE
PETALUMA, CA 94952
Marriage & Family Therapist
1 BODEGA AVE, STE. 1
PETALUMA, CA 94952
Marriage & Family Therapist
1 BODEGA AVE, SUITE 2
PETALUMA, CA 94952
Social Worker (Clinical)
1 BODEGA AVE
PETALUMA, CA 94952
Psychologist
1 BODEGA AVE, SUITE 1
PETALUMA, CA 94952
Marriage & Family Therapist
1 BODEGA AVE, SUITE #5
PETALUMA, CA 94952

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 Jimmy Matto-shepard's NPI number?

The NPI number for Jimmy Matto-shepard is 1205036357. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Jimmy Matto-shepard located?

Jimmy Matto-shepard practices at 1 Bodega Ave Suite #4, Petaluma, CA 94952. The listed phone number is (707) 762-1670.

What is Jimmy Matto-shepard's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jimmy Matto-shepard was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.