DR. JONATHAN JOEL SHEPHERD M.D.
NPI 1902096050
Psychiatry & Neurology - Child & Adolescent Psychiatry in Woodlawn, MD

Q: What is the provider's specialty?

The provider's specialty is Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.

Active since July 25, 2007PECOS Enrolled

6707 WHITESTONE RD, SUITE 106, WOODLAWN, MD 21207(410) 265-8737(410) 265-1258 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jonathan Joel Shepherd M.d. NPPES

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

DR. JONATHAN JOEL SHEPHERD M.D. (NPI 1902096050) is an individual child & adolescent psychiatry provider in Woodlawn, Maryland, licensed in Maryland (D0070538) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902096050

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. JONATHAN JOEL SHEPHERDCredential: M.D.

Location Address6707 WHITESTONE RD, SUITE 106Woodlawn, MD 21207-4106

Mailing Address18 Breton Hill Rd, Apt. #3bPikesville, MD 21208-2716 · (312) 391-7437

Phone(410) 265-8737

Fax(410) 265-1258

Sole ProprietorYes

Enumeration DateJuly 25, 2007

Last NPPES UpdateFebruary 7, 2012

✔ NPI 1902096050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MD · D0070538

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

6707 WHITESTONE RD, Woodlawn, MD 21207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Joel Shepherd M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.