Individual provider Active NPI

Pamela Jeanne Shields, PSY.D.

  • Clinical Psychologist
  • Emmaus, PA
National Provider Identifier
1386609550
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS009302L Issued in PA
Practice address
216 N 4TH St
Emmaus, PA 18049-2718
Phone
(610) 653-0353
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS009302L PA Primary

Addresses

Primary practice location

216 N 4TH St
Emmaus, PA 18049-2718

Mailing address

4211 Cottonwood CT
Allentown, PA 18103-9205
Phone (610) 653-0353

Other identifiers 1

IdentifierTypeStateIssuer
SH1725443OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000273 PA Practitioner - Clinical Psychologist 5597655530 Practice locations: Emmaus, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 N 4TH St
Emmaus, PA 18049-2718
Phone (610) 653-0353

4211 Cottonwood CT
Allentown, PA 18103-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS009302LPAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1386609550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 COTTONWOOD CT",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181039205",
            "telephone_number": "610-653-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N 4TH ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180492718",
            "telephone_number": "610-653-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "PAMELA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS009302L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "SH1725443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmaus, PA

Sources for this page

Verify at the official NPI Registry.