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DR. MASON SHEPHERD PSY.D.
NPI 1558903005
Psychologist - Clinical in New Brunswick, NJ

Active since October 16, 2019PECOS EnrolledAccepts Medicare Assignment
636 EDPAS RD, NEW BRUNSWICK, NJ 08901(973) 303-9237 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 3, 2022, Oct 16, 2019 (2 updates tracked since 2019).

About Dr. Mason Shepherd Psy.d. NPPES

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

DR. MASON SHEPHERD PSY.D. (NPI 1558903005) is an individual clinical provider in New Brunswick, New Jersey, licensed in New Jersey (35SI00652900) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1558903005
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MASON SHEPHERDCredential: PSY.D.
Location Address636 EDPAS RDNew Brunswick, NJ 08901-3811
Mailing Address636 Edpas RdNew Brunswick, NJ 08901-3811 · (973) 303-9237
Phone(973) 303-9237
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 16, 2019
Last NPPES UpdateMay 3, 20222 updates tracked since enumeration
NPPES CertifiedMay 3, 2022
✔ NPI 1558903005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NJ · 35SI00652900
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.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X
636 EDPAS RD, New Brunswick, NJ 08901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mason Shepherd Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800278862
PECOS Enrollment IDI20220808001774
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mason Shepherd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Atlantic Psychological Services
2.5 mi
Adolescent and Children Mental Health
75 RARITAN AVE STE 225
Highland Park, NJ 08904
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1508503038 (973) 433-5868
Scott A. Roth, Psy.D., LLC
12 mi
Psychologist
70 S MAIN ST, SUITE 1A
Cranbury, NJ 08512
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1205128188 (609) 217-0973

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mason Shepherd's NPI number?

The NPI number for Mason Shepherd is 1558903005. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Mason Shepherd located?

Mason Shepherd practices at 636 Edpas Rd, New Brunswick, NJ 08901. The listed phone number is (973) 303-9237.

What is Mason Shepherd's specialty?

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

Is Mason Shepherd enrolled in Medicare?

Yes. Mason Shepherd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mason Shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mason Shepherd reassigns Medicare benefits to 2 organizations: Mid-Atlantic Psychological Services (Highland Park, NJ) and Scott A. Roth, Psy.D., LLC (Cranbury, NJ). Each 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 Mason Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mason Shepherd was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.