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DR. GREGORY ERNEST SHADID MD
NPI 1811985062
Psychiatry & Neurology - Psychiatry in South Bend, IN

Active since October 12, 2005
1213 LEEPER AVE, SOUTH BEND, IN 46617(574) 302-8786(405) 310-4417 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2024, Oct 11, 2023, Aug 22, 2023 and 4 more (7 updates tracked since 2019).

About Dr. Gregory Ernest Shadid Md NPPES

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

DR. GREGORY ERNEST SHADID MD (NPI 1811985062) is an individual psychiatry provider in South Bend, Indiana, licensed in Indiana (01082994A) and active in the NPI registry since October 2005. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811985062
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. GREGORY ERNEST SHADIDCredential: MD
Location Address1213 LEEPER AVESouth Bend, IN 46617-1209
Mailing Address1213 Leeper AveSouth Bend, IN 46617-1209 · (574) 302-8786 · Fax (405) 310-4417
Phone(574) 302-8786
Fax(405) 310-4417
Sole ProprietorYes
Enumeration DateOctober 12, 2005
Last NPPES UpdateJune 3, 20247 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1811985062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IN · 01082994A✔ Licensed in OK · OK20542✔ Licensed in TX · K1056
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1213 LEEPER AVE, South Bend, IN 46617
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Secondary Practice Locations 3

Location 1Saint Mary's College, 166 Campus Wellness CenterNotre Dame, IN 46556 · Phone (405) 570-3559 · Fax (574) 284-4833
Location 26212 Woodcrest LnDallas, TX 75214-2337 · Phone (574) 302-8786 · Fax (405) 310-4417
Location 31605 SW 40th StMoore, OK 73160-5432 · Phone (574) 302-8786 · Fax (405) 310-4417

Other Identifiers 1

Medicaid100228720BOK

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 Gregory Shadid's NPI number?

The NPI number for Gregory Shadid is 1811985062. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Gregory Shadid located?

Gregory Shadid practices at 1213 Leeper Ave, South Bend, IN 46617. The listed phone number is (574) 302-8786.

What is Gregory Shadid's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Gregory Shadid was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.