Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joshua Shane Shepherd, CPSP

Individual provider Peer Specialist · NPI 1114800059

Joshua Shane Shepherd, CPSP is a Peer Specialist in Poughkeepsie, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025
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Practice location Address checks out

115 Delafield St
Poughkeepsie, NY 12601-1749
Phone: (845) 790-6036
Fax: (845) 790-6036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-46310 (NY)

Record details

NPI number1114800059
Entity typeIndividual (Type 1)
GenderMale
Credentials CPSP
Sole proprietorYes
NPI enumeratedJuly 29, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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