ANTHONY DAVID SHIELDS IMFT - NPI 1467700120 - Marriage & Family Therapist in Rancho Cucamonga, CA

Q: What is Anthony Shields's NPI number?

The NPI number for Anthony Shields is 1467700120. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Anthony Shields's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Anthony Shields enrolled in Medicare?

No. Anthony Shields has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Anthony Shields was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

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About Anthony David Shields Imft NPPES

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

ANTHONY DAVID SHIELDS IMFT (NPI 1467700120) is an individual marriage & family therapist in Rancho Cucamonga, California, licensed in California (92419) and active in the NPI registry since August 2012. He has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1467700120

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameANTHONY DAVID SHIELDSCredential: IMFT

Location Address8291 UTICA AVE STE 102Rancho Cucamonga, CA 91730-3800

Mailing Address600 Central Ave Apt 158Riverside, CA 92507-6596 · (951) 760-1846

Phone(909) 727-2577

Sole ProprietorNo

Enumeration DateAugust 28, 2012

Last NPPES UpdateDecember 31, 2025

NPPES CertifiedDecember 31, 2025

✔ NPI 1467700120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 92419

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

8291 UTICA AVE STE 102, Rancho Cucamonga, CA 91730

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Anthony David Shields Imft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2026 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2026

Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

KARLA BERENICE MORENO-CORTEZ

Marriage & Family Therapist