Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Surles Shepard, PSYD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932335486

Jaclyn Surles Shepard, PSYD is a Clinical Psychologist in Charlottesville, Virginia. Qualified in 2009, 17 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4 Hospital Dr
Charlottesville, VA 22908-0001
Phone: (434) 924-5314
Fax: (434) 924-0185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004538 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932335486
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESJuly 11, 2012
Mailing addressPo Box 9007, Charlottesville, VA 22906-9007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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