MICHEAL SHIELDS PH.D.
NPI 1417544875
Psychologist - Counseling in Texarkana, TX

Active since December 30, 2020PECOS EnrolledAccepts Medicare Assignment
29 HEATHERWOOD DR, TEXARKANA, TX 75503(620) 617-2692 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Micheal Shields Ph.d. NPPES

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

MICHEAL SHIELDS PH.D. (NPI 1417544875) is an individual counseling provider in Texarkana, Texas, licensed in Kansas (2098) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Lawton Indian Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417544875
Entity TypeIndividualMale
Primary Taxonomy103TC1900X
Provider Legal NameMICHEAL SHIELDSCredential: PH.D.
Location Address29 HEATHERWOOD DRTexarkana, TX 75503-1657
Mailing Address29 Heatherwood DrTexarkana, TX 75503-1657 · (620) 617-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
NPI 1417544875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in KS · 2098
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
29 HEATHERWOOD DR, Texarkana, TX 75503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Micheal Shields Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628485380
PECOS Enrollment IDI20210324001243
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawton Indian Hospital

Acute Care Hospitals · Lawton, OK
OwnershipGovernment - Federal
CMS Certification Number370170
Location1515 Lawrie Tatum RoadLawton, OK 73507 · Comanche County
Emergency services

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 Micheal Shields's NPI number?

The NPI number for Micheal Shields is 1417544875. It was assigned to this individual provider in the NPPES registry on December 30, 2020.

Where is Micheal Shields located?

Micheal Shields practices at 29 Heatherwood Dr, Texarkana, TX 75503. The listed phone number is (620) 617-2692.

What is Micheal Shields's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Micheal Shields enrolled in Medicare?

Yes. Micheal Shields is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Micheal Shields affiliated with any hospitals?

According to CMS data, Micheal Shields is affiliated with Lawton Indian Hospital.

When was this NPI record last updated?

The NPPES record for Micheal Shields was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.