David Allen Shadd II, LPP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

KY-115960 Issued in KY

Practice address

360 W Loudon Ave
Lexington, KY 40508-3729

Phone

(859) 252-7881

Fax

(859) 255-0749

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hope Center Services, LLC

  • Professional Counselor
  • Lexington, KY
  • NPI 1609369321
  NPD (past)
• New Vista of the Bluegrass Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, KY
  • NPI 1023359783
  NPD (past)
• Positive Directions II LLC

  • Community/Behavioral Health Agency
  • Cynthiana, KY
  • NPI 1881736791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1376684571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083729",
            "telephone_number": "859-229-8543",
            "fax_number": "859-255-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W LOUDON AVE",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405083729",
            "telephone_number": "859-252-7881",
            "fax_number": "859-255-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADD",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "LPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "KY-115960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100538530",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avesta Adil Shabila
• Deborah H Shackelford, A.R.N.P.
• Angela Shackleford, MA
• Josiah Shackleford
• Taylor L Shackleford
• Thomas Joseph Shaddix, PA
• Luciana Shaddox, D.D.S.
• Lincoln Shade, MD,PHD
• Shadowrock Recovery
• Shafer Speech Therapy LLC

• Psychologist in Lexington, KY
• Providers in Lexington, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.