DR. LINDA V. SHEPHERD (PSYD) – Psychologist, NPI 1073096053

DR. LINDA V. SHEPHERD (PSYD) is a healthcare provider. based in Cayucos, California. specializing in Psychologist. They hold the professional credentials PSYD. They hold a License No. PSY30145 (CA). The NPI Number for DR. LINDA V. SHEPHERD (PSYD) is 1073096053

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINDA V. SHEPHERD (PSYD)
NPI
1073096053
Phone
(808) 209-4323
Address
PO BOX 312
Enumeration Date
14 September 2018
Last Update Date
14 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8886842779
Graduation Year
2016 (10 years ago)
PAC ID
9739432709
Group Practice PAC ID
3375767403
Professional Enrollment ID
I20181022003262
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LINDA V. SHEPHERD (PSYD)

  • PO BOX 312

    CAYUCOS, CA 934300312

    Phone: (808) 209-4323

    Type: Mailing

  • Santa Monica Boulevard, East Hollywood, Los Angeles, Los Angeles County, California, 90029-3026, United States

    WEST HOLLYWOOD, CA 900465969

    Phone: (888) 684-2779

    Fax: (323) 366-2966

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181022003262IClinical PsychologistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93430)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375767403View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerMD
P S Y C H I A T R YNC
Nurse PractitionerNC
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Clinical Social WorkerCA
P S Y C H I A T R YND
Clinical PsychologistNV

Reviews

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Frequently asked questions

Does DR. LINDA V. SHEPHERD (PSYD) have a public NPI I can cite?
Public records show DR. LINDA V. SHEPHERD (PSYD) under NPI 1073096053.
Is DR. LINDA V. SHEPHERD (PSYD) currently accepting referrals based on NPI status?
Registry metadata lists DR. LINDA V. SHEPHERD (PSYD) as active.
What does the directory say DR. LINDA V. SHEPHERD (PSYD) does?
Insurance directories may phrase it differently, but here DR. LINDA V. SHEPHERD (PSYD) maps to Psychologist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. LINDA V. SHEPHERD (PSYD)?
The directory associates DR. LINDA V. SHEPHERD (PSYD) with Cayucos, California. Check all listed addresses for suites or satellite offices.
Who maintains DR. LINDA V. SHEPHERD (PSYD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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