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MR. DOUGLAS JAMES SHADLE MD
NPI 1558376905
Psychiatry & Neurology - Child & Adolescent Psychiatry in Punta Gorda, FL

Active since July 31, 2006
425 CROSS ST, SUITE 116, PUNTA GORDA, FL 33950(941) 639-4248(941) 639-8002 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Douglas James Shadle Md NPPES

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

MR. DOUGLAS JAMES SHADLE MD (NPI 1558376905) is an individual child & adolescent psychiatry provider in Punta Gorda, Florida, licensed in Florida (ME76084) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1558376905
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMR. DOUGLAS JAMES SHADLECredential: MD
Location Address425 CROSS ST, SUITE 116Punta Gorda, FL 33950-4872
Mailing Address425 Cross St, Suite 116Punta Gorda, FL 33950-4872 · (941) 639-4248 · Fax (941) 639-8002
Phone(941) 639-4248
Fax(941) 639-8002
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1558376905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in FL · ME76084
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License ME76084 (FL)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME76084 (FL)
425 CROSS ST, Punta Gorda, FL 33950
Open in Google Maps ↗

Other Identifiers 2

OtherMD19739WA · Hlth Prof Qual Assurance
OtherME76084FL · Dept Of Health

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.

PEACE RIVER PSYCHOLOGY CENTER PA
Psychologist
425 CROSS ST, STE 111
PUNTA GORDA, FL 33950
Charlotte County (941) 505-6162
MS. DEBORAH BURGESS MS, LMHC
Counselor (Mental Health)
425 CROSS ST, 111
PUNTA GORDA, FL 33950
Charlotte County (941) 505-6162
DR. KARIN GALLIANO P.H.D
Psychologist
425 CROSS ST, 111
PUNTA GORDA, FL 33950
Charlotte County (941) 505-6162
DANIEL BASS GOLDMAN
Psychologist (Counseling)
425 CROSS ST, #111
PUNTA GORDA, FL 33950
Charlotte County (941) 255-5489
DR. STEVEN R POLLARD P.H.D
Psychologist
425 CROSS ST, 111
PUNTA GORDA, FL 33950
Charlotte County (941) 505-6162
WILSHIRE MEDICAL ARTS PA
Internal Medicine
425 CROSS ST, SUITE 311 & 312
PUNTA GORDA, FL 33950
Charlotte County (941) 625-1275
LUIS D BERRIOS MD
Family Medicine
425 CROSS ST, UNIT 311 & 312
PUNTA GORDA, FL 33950
Charlotte County (941) 625-1275

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 Douglas Shadle's NPI number?

The NPI number for Douglas Shadle is 1558376905. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Douglas Shadle located?

Douglas Shadle practices at 425 Cross St Suite 116, Punta Gorda, FL 33950. The listed phone number is (941) 639-4248.

What is Douglas Shadle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Douglas Shadle was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.