Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Micheal Shields, PHD

Individual provider Counseling Psychologist · NPI 1417544875

Micheal Shields, PHD is a Clinical Psychologist in Texarkana, Texas. Qualified in 2010, 16 years ago. Practices with Clinton Indian Health Center, a 73-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
16
Licensed in
KS
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

29 Heatherwood Dr
Texarkana, TX 75503-1657
Phone: (620) 617-2692
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 2098 (KS)

Record details

NPI number1417544875
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 30, 2020
Last updated in NPPESDecember 30, 2020
Certification dateDecember 30, 2020
Mailing address29 Heatherwood Dr, Texarkana, TX 75503-1657

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Clinton Indian Health Center — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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