DR. PATRICK WILLIAM SHEA M.D.
NPI 1629203104
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fresno, CA

Q: What is Patrick Shea's NPI number?

The NPI number for Patrick Shea is 1629203104. It was assigned to this individual provider in the NPPES registry on May 27, 2009.

Q: What is Patrick Shea's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patrick Shea was last updated on March 8, 2021. 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.

Active since May 27, 2009PECOS Enrolled

3133 N MILLBROOK AVE, FRESNO, CA 93703(559) 600-8918(559) 600-7701 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Jun 20, 2019, Oct 24, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Patrick William Shea M.d. NPPES

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

DR. PATRICK WILLIAM SHEA M.D. (NPI 1629203104) is an individual child & adolescent psychiatry provider in Fresno, California, licensed in California (A143422) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1629203104

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameDR. PATRICK WILLIAM SHEACredential: M.D.

Location Address3133 N MILLBROOK AVEFresno, CA 93703-1425

Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681

Phone(559) 600-8918

Fax(559) 600-7701

Sole ProprietorNo

Enumeration DateMay 27, 2009

Last NPPES UpdateMarch 8, 20214 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1629203104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · A143422

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 · PsychiatryTaxonomy 2084P0800X · License A143422 (CA)

3133 N MILLBROOK AVE, Fresno, CA 93703

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Secondary Practice Location 1

Location 12210 E Illinois Ave Ste 401Fresno, CA 93701-2184 · Phone (559) 320-0580 · Fax (559) 320-0582

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick William Shea M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MS. CHERY MCCARTER WOODWARD LMFT

Marriage & Family Therapist