DR. JOHN SHEPPARD JEFFREYS ED.D.
NPI 1932549078
Psychologist in Columbia, MD

Active since July 03, 2013Opted out of Medicare · through Apr 1, 2028
10533 GREEN MOUNTAIN CIR, COLUMBIA, MD 21044(410) 730-3310 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Sheppard Jeffreys Ed.d. NPPES

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

DR. JOHN SHEPPARD JEFFREYS ED.D. (NPI 1932549078) is an individual psychologist in Columbia, Maryland, licensed in Maryland (00958) and active in the NPI registry since July 2013. He has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1932549078
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JOHN SHEPPARD JEFFREYSCredential: ED.D.
Location Address10533 GREEN MOUNTAIN CIRColumbia, MD 21044-2459
Mailing Address10533 Green Mountain CirColumbia, MD 21044-2459 · (410) 730-3310
Sole ProprietorYes
Enumeration DateJuly 3, 2013
NPI 1932549078 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 MD · 00958
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.
10533 GREEN MOUNTAIN CIR, Columbia, MD 21044

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. John Sheppard Jeffreys Ed.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 John Jeffreys's NPI number?

The NPI number for John Jeffreys is 1932549078. It was assigned to this individual provider in the NPPES registry on July 3, 2013.

Where is John Jeffreys located?

John Jeffreys practices at 10533 Green Mountain Cir, Columbia, MD 21044. The listed phone number is (410) 730-3310.

What is John Jeffreys's specialty?

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

Is John Jeffreys enrolled in Medicare?

No. John Jeffreys has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Jeffreys was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.