IndividualActive
Jimmy Matto-Shepard, PH.D.
NPI 1205036357 · Psychologist · Petaluma, CA
Jimmy Matto-Shepard, PH.D. is a Psychologist provider in Petaluma, CA (NPI 1205036357).
Provider details
- NPI number
- 1205036357
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PSY15031 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Bodega Ave
Suite #4
Petaluma, CA 94952-2666
Phone: (707) 762-1670
Street-level locationGet directions
Mailing address
1 Bodega Ave
Petaluma, CA 94952-2666
Registry dates
- Enumerated
- 2007-07-18
- Last updated
- 2007-07-18
Frequently asked questions
- What is Jimmy Matto-Shepard's NPI number?
- Jimmy Matto-Shepard's National Provider Identifier (NPI) is 1205036357, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Matto-Shepard's specialty?
- Jimmy Matto-Shepard is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jimmy Matto-Shepard located?
- Jimmy Matto-Shepard's practice location on file with NPPES is 1 Bodega Ave, Petaluma, CA 94952-2666.
- What is Jimmy Matto-Shepard's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Matto-Shepard is (707) 762-1670.
- Is Jimmy Matto-Shepard's NPI active?
- Yes — Jimmy Matto-Shepard's NPI (1205036357) is active in the NPPES registry as of the last update on 2007-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.