Active NPI
Paul Harold Shield, M.D.
- Psychiatry Physician
- Providence, RI
National Provider Identifier
1083828784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD 4759
- Practice address
- 154 Waterman St
Providence, RI 02906-3116 - Phone
- (401) 272-1415
- Fax
- (508) 336-5503
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | MD 4759 | RI | |
| Psychiatry Physician | 2084P0800X | MD 4759 | RI | Primary |
Addresses
Primary practice location
154 Waterman St
Providence, RI 02906-3116
Mailing address
154 Waterman St
Providence, RI 02906-3116
Phone (401) 272-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 4759 | RI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1083828784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 WATERMAN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-272-1415",
"fax_number": "508-336-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WATERMAN ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029063116",
"telephone_number": "401-272-1415",
"fax_number": "508-336-5503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELD",
"first_name": "PAUL",
"middle_name": "HAROLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "RI",
"license": "MD 4759",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD 4759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.