DR. JOHN FLOYD SHACKELFORD I (NPI# 1467599340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467599340 |
| Entity Type | Individual |
| Full Name | DR. JOHN FLOYD SHACKELFORD I |
| Credential | PSY.D. |
| Practice Address |
1701 Gateway Blvd Ste 405 Richardson TX 75080-3627 |
| Practice Telephone | 9729791949 |
| Practice Fax Number | 9726445512 |
| Mailing Telephone | 9729791949 |
| Mailing Fax Number | 9726445512 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
22077 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598724072 | John H Shackelford Jr. | Internal Medicine | 1421 Orleans Rd, Harwich, MA 02645-2148 | 2006-03-22 |
| Street Address |
1701 GATEWAY BLVD STE 405 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75080-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053797969 | Stephanie Clanton | Counselor | 1701 Gateway Blvd Ste 405, Richardson, TX 75080-3627 | 2015-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684717 | Ragan Jones Morales | Counselor | 1702 Gateway Blvd, Suite 349, Richardson, TX 75080 | 2020-09-23 |
| 1316556996 | Medex Diagnostic Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 811 South Central Expressway, Suite #516, Richardson, TX 75080 | 2020-07-29 |
| 1083109342 | Amy Viloria | Occupational Therapy Assistant | 417 W Arapaho Rd, Richardson, TX 75080 | 2018-06-28 |
| 1194228437 | Lesley Ellsworth Hall | Counselor | Thrive Clinical & Natural Therapeutics, Pllc, 2007 N. Collins Suite 301, Richardson, TX 75080 | 2018-03-13 |
| 1538686233 | Apex Imaging Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1701 N Collins Blvd Ste 230, Richardson, TX 75080 | 2017-08-24 |
| 1326565292 | Go Operations 6 LLC | Skilled Nursing Facility | 1610 Richardson Drive, Richardson, TX 75080 | 2017-08-23 |
| 1093231649 | Twitches Iom Pllc | Electrodiagnostic Medicine | 3400 Waterview Parkway, Suite 305, Richardson, TX 75080 | 2017-08-16 |
| 1639690340 | Faith Mbarathi | Technician, Other | 1702 North Collins Blvd, Suite 250, Richrdson, TX 75080 | 2017-07-03 |
| 1063933083 | Drew Marie Harvick | Technician, Other | 1702 North Collins Blvd Suite 250, Richardson, TX 75080 | 2017-06-29 |
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| Find all providers in zip 75080 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003244187 | Wendy Bates | Psychologist | 1221 Abrams Rd Ste 325, Richardson, TX 75081-5579 | 2013-10-28 |
| 1689832867 | Darielle Greenberg | Psychologist | 1201 Richardson Dr, Suite 180, Richardson, TX 75080-4403 | 2008-05-24 |
| 1023202322 | Anna Adelgunde Felsl | Psychologist | 800 W Renner Rd, Apt. 1424, Richardson, TX 75080-1028 | 2007-08-29 |
| 1669562799 | Robert H Weiner | Psychologist | 1485 Richardson Dr Ste 170, Richardson, TX 75080-4660 | 2006-10-12 |
| 1912921099 | Walter J Pintal | Psychologist | 630 N Coit Rd, Suite 2200, Richardson, TX 75080-3700 | 2006-07-26 |
| 1336642032 | Bradford White, Phd, Pllc | Psychologist | 1221 Abrams Rd Ste 325, Richardson, TX 75081-5579 | 2018-03-09 |
| 1811373301 | Richland Oaks Counseling Center | Psychologist | 1221 Abrams Rd, Suite 325, Richardson, TX 75081-5578 | 2015-08-06 |
| 1346649431 | Anna Felsl Psychological Services Pa | Psychologist | 800 W Renner Rd, Apt # 1424, Richardson, TX 75080-1028 | 2014-08-14 |
| 1477807469 | Ann-marie Klecka Roberts-davis | Psychologist | 2007 N Collins Blvd, Suite 407, Richardson, TX 75080-2658 | 2012-10-30 |
| 1285981894 | Erin Marie Owen-salters | Psychologist | 800 E Campbell Rd, Suite 246, Richardson, TX 75081-6706 | 2012-08-14 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75080 |
Please comment or provide details below to improve the information on DR. JOHN FLOYD SHACKELFORD I.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.