Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083761464 Individual Practitioner Male Practitioner

David A Shade , MS, LPE-I

Psychologist • Jonesboro, AR

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

David Shade, MS, LPE-I is a registered healthcare professional specializing in Psychologist in Jonesboro, AR. Official NPI practice address is registered at 1815 PLEASANT GROVE RD.

Practice Location & Contact Primary Location

Practice Address

1815 Pleasant Grove Rd

Jonesboro, AR 724017870

Telephone 8709336886
Fax 8709339395
Associated Practice Facility / Clinic
🏢 Families, Inc Of Arkansas Facility NPI 1770535569

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Jonesboro, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.4 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Jonesboro, AR (220 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License AR 83-13EI

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
198883795 (AR)
Commercial Insurance / Payer ID Bcbs
5A020 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Pawel Kurylo , MD

Psychiatry & Neurology - Psychiatry

NPI 1003017302

Doctor of Medicine (M.D.)

Trebor Bosley , LPC

Counselor - Professional

NPI 1003138710

Licensed Professional Counselor

Sarah Matthews , MHPP

Case Manager/Care Coordinator

NPI 1003267998

Mental Health Professional Practitioner

Sadie Sawyers

Case Manager/Care Coordinator

NPI 1003465063
NPI 1003468380

Licensed Acupuncturist

Jeremy Anderson , LPC

Counselor - Mental Health

NPI 1003946369

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at 1815 PLEASANT GROVE RD, JONESBORO, AR 724017870 (Tel: 8709336886)

📍
Updated Business Mailing Address November 02, 2016

Registered at 1815 PLEASANT GROVE RD, JONESBORO, AR 724017870 (Tel: 8709336886)

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as DAVID SHADE, M.S., LPE-I

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Psychologist (License #83-13EI in AR)

🟢
Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for David Shade. Be the first to share your experience!

Sign in to leave a review for David Shade

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083761464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: November 02, 2016
Sole Proprietor: No

Mailing Address

1815 Pleasant Grove Rd

Jonesboro, AR 724017870

Phone: 8709336886

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.