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DERRICK EUGENE SHEPHERD
NPI 1639711310
Counselor - Mental Health in Richvale, CA

Active since October 14, 2019
1229 BROADWAY ST, RICHVALE, CA 95974(530) 882-4125(530) 894-5791 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Oct 14, 2019 (2 updates tracked since 2019).

About Derrick Eugene Shepherd NPPES

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

DERRICK EUGENE SHEPHERD (NPI 1639711310) is an individual mental health provider in Richvale, California and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1639711310
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDERRICK EUGENE SHEPHERD
Location Address1229 BROADWAY STRichvale, CA 95974
Mailing Address350 Main StQuincy, CA 95971 · (530) 283-3330 · Fax (530) 283-2150
Phone(530) 882-4125
Fax(530) 894-5791
Sole ProprietorNo
Enumeration DateOctober 14, 2019
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
✔ NPI 1639711310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1229 BROADWAY ST, Richvale, CA 95974
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Other Providers at the Same Location NPPES 9

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

SHARI LEE MOTA
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (707) 599-6473
FRANCES BOISSEREE
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 882-4125
MR. JOSEPH EZRA ILAOA
Rehabilitation Practitioner
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 283-3330
ARTHUR JOE WYLIE IV
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 882-4125
AUBREYON DOUGLAS
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 882-4125
ARTHUR WYLIE
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 882-4125
MONICA DE LEON
Rehabilitation Counselor
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 882-4125
ROSEMARY HENMAN
Rehabilitation Practitioner
1229 BROADWAY ST
RICHVALE, CA 95974
Butte County (530) 283-3300

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 Derrick Shepherd's NPI number?

The NPI number for Derrick Shepherd is 1639711310. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Derrick Shepherd located?

Derrick Shepherd practices at 1229 Broadway St, Richvale, CA 95974. The listed phone number is (530) 882-4125.

What is Derrick Shepherd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Derrick Shepherd was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.