MR. DAVID A SHADE M.S., LPE-I
NPI 1083761464
Psychologist in Jonesboro, AR

Active since January 05, 2007
1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. David A Shade M.s., Lpe-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID A SHADE M.S., LPE-I (NPI 1083761464) is an individual psychologist in Jonesboro, Arkansas, licensed in Arkansas (83-13EI) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1083761464
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. DAVID A SHADECredential: M.S., LPE-I
Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395
Fax(870) 933-9395
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 2, 2016
NPI 1083761464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AR · 83-13EI
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1815 PLEASANT GROVE RD, Jonesboro, AR 72401

Other Identifiers 3

Other5A020AR · Bcbs
Medicare UPIN5A020AR
Medicaid198883795AR

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Specialist
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Registered Nurse
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Counselor (Professional)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Counselor (Professional)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Shade's NPI number?

The NPI number for David Shade is 1083761464. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is David Shade located?

David Shade practices at 1815 Pleasant Grove Rd, Jonesboro, AR 72401. The listed phone number is (870) 933-6886.

What is David Shade's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does David Shade accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list David Shade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Shade was last updated on November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.