Dr. Paul K. Shields, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

DR. PAUL K. SHIELDS, INC

Practice address

5525 E 51St St Ste 530
Tulsa, OK 74135-7461

Phone

(918) 809-1790

Fax

(918) 728-3024

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Paul K. Shields, ED.D.NPI 1972611887

Title

Owner/President

Phone

(918) 494-8807

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Keith Shields

  • Professional Counselor
  • Tulsa, OK
  • NPI 1972611887
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1912724816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N VANCOUVER AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741278443",
            "telephone_number": "918-809-1790",
            "fax_number": "918-728-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 E 51ST ST STE 530",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357461",
            "telephone_number": "918-809-1790",
            "fax_number": "918-728-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PAUL K. SHIELDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "918-494-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cognitive & Behavioral Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Cognitive & Behavioral Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.