Micheal Shields, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

2098 Issued in KS

Practice address

29 Heatherwood Dr
Texarkana, TX 75503-1657

Phone

(620) 617-2692

NPI assigned

Dec 30, 2020

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians

Watonga Indian Health CenterGroup PAC ID 9032010111, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lawton Indian Hospital Hospital, Lawton, OK, CCN 370170

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  TX

  Medicare reassignment Care Compare group NPD
• Watonga Indian Health Center

  • Public Health or Welfare Agency
  • Watonga, OK
  • NPI 1558458794

  TX

  Medicare reassignment Care Compare group NPD
• El Reno Indian Health Center

  • Public Health or Welfare Agency
  • El Reno, OK
  • NPI 1386725604

  TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Anadarko Indian Health Center

  • Federal Public Health Clinic/Center
  • Anadarko, OK
  • NPI 1881637403

  Hospital

  Care Compare affiliation
• Carnegie Indian Health Center

  • Federal Public Health Clinic/Center
  • Carnegie, OK
  • NPI 1457459158

  Hospital

  Care Compare affiliation
• Clinton Indian Health Center

  • Federal Public Health Clinic/Center
  • Clinton, OK
  • NPI 1205923448

  Hospital

  Care Compare affiliation
• El Reno Indian Health Center

  • Public Health or Welfare Agency
  • El Reno, OK
  • NPI 1386725604

  Hospital

  Care Compare affiliation
• Lawton Indian Hospital

  • General Acute Care Hospital
  • Lawton, OK
  • NPI 1760489223
  Care Compare affiliation
• Watonga Indian Health Center

  • Public Health or Welfare Agency
  • Watonga, OK
  • NPI 1558458794

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1417544875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HEATHERWOOD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031657",
            "telephone_number": "620-617-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HEATHERWOOD DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031657",
            "telephone_number": "620-617-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MICHEAL",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.