Mason Shepherd, PSY.D.
NPI 1558903005ActiveIndividual· Psychologist, Clinical· New Brunswick, NJ
Psychologist, Clinical (PSY.D.) with Scott A. Roth, Psy.D., LLC, practicing in New Brunswick, New Jersey. Medicare paid $23,238 for services to 11 patients in 2024.
Overview
| NPI | 1558903005 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 16, 2019 |
| Last updated in NPPES | May 3, 2022 |
| Certified by provider | May 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 35SI00652900 | NJ |
| Psychologist, School | 103TS0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 11 |
|---|---|
| Services billed | 183 across 2 procedure codes |
| Paid by Medicare | $23,238 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Scott A. Roth, Psy.D., LLCCranbury, NJ · 2 clinicians
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All 17 clinical psychologists in New Brunswick · All clinical psychologists in New Jersey