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DR. JOHN FLOYD SHACKELFORD I PSY.D.
NPI 1467599340
Psychologist - Clinical in Richardson, TX

Active since January 31, 2007PECOS EnrolledAccepts Medicare Assignment
1701 GATEWAY BLVD STE 405, RICHARDSON, TX 75080(972) 979-1949(972) 644-5512 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Floyd Shackelford I Psy.d. NPPES

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

DR. JOHN FLOYD SHACKELFORD I PSY.D. (NPI 1467599340) is an individual clinical provider in Richardson, Texas, licensed in Texas (22077) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1978).

NPPES Registry Identity

NPI1467599340
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN FLOYD SHACKELFORD ICredential: PSY.D.
Location Address1701 GATEWAY BLVD STE 405Richardson, TX 75080-3627
Mailing Address1701 Gateway Blvd Ste 405Richardson, TX 75080-3627 · (972) 979-1949 · Fax (972) 644-5512
Phone(972) 979-1949
Fax(972) 644-5512
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467599340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in TX · 22077
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1701 GATEWAY BLVD STE 405, Richardson, TX 75080
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Other Identifiers 1

Medicare ID-Type Unspecified99AJTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. John Floyd Shackelford I Psy.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 ID840287009
PECOS Enrollment IDI20040428001666
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.86 typical visit price
range $57.18 – $172.86
Typical copayment $43.21 (range $14.29 – $43.21)
Most-billed visit code 99205
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

STEPHANIE CLANTON LPC
Counselor (Professional)
1701 GATEWAY BLVD STE 405
RICHARDSON, TX 75080
Dallas County (657) 229-0620

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 John Shackelford's NPI number?

The NPI number for John Shackelford is 1467599340. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is John Shackelford located?

John Shackelford practices at 1701 Gateway Blvd Ste 405, Richardson, TX 75080. The listed phone number is (972) 979-1949.

What is John Shackelford's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Shackelford enrolled in Medicare?

Yes. John Shackelford 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.

What insurance does John Shackelford accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list John Shackelford 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 John Shackelford was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.