1. Home
  2. Directory
  3. Florida
  4. Melrose
  5. Counselor
  6. NPI Profile

PATRICA SHACKLEFORD PH.D.
NPI 1316361801
Counselor - Mental Health in Melrose, FL

Active since February 05, 2014
2380 SE COUNTY ROAD 21B, MELROSE, FL 32666(352) 475-3311(866) 811-2779 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patrica Shackleford Ph.d. NPPES

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

PATRICA SHACKLEFORD PH.D. (NPI 1316361801) is an individual mental health provider in Melrose, Florida, licensed in Florida (MH5805) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1316361801
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePATRICA SHACKLEFORDCredential: PH.D.
Location Address2380 SE COUNTY ROAD 21BMelrose, FL 32666-5113
Mailing Address2380 Se County Road 21bMelrose, FL 32666-5113 · (352) 475-3311 · Fax (866) 811-2779
Phone(352) 475-3311
Fax(866) 811-2779
Sole ProprietorYes
Enumeration DateFebruary 5, 2014
✔ NPI 1316361801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH5805
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License SS 475 (FL)
2380 SE COUNTY ROAD 21B, Melrose, FL 32666
Open in Google Maps ↗

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 Patrica Shackleford's NPI number?

The NPI number for Patrica Shackleford is 1316361801. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Patrica Shackleford located?

Patrica Shackleford practices at 2380 SE County Road 21B, Melrose, FL 32666. The listed phone number is (352) 475-3311.

What is Patrica Shackleford's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Patrica Shackleford was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.