MR. DOUGLAS JAMES SHADLE MD NPI 1558376905

NPI Information

NPI: 1558376905
Provider Name: MR. DOUGLAS JAMES SHADLE, MD
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Individual
Address: 425 CROSS ST
SUITE 116
PUNTA GORDA, FL
ZIP 33950
Phone: (941) 639-4248

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NPI Details

MR. Douglas James Shadle, MD is a child and adolescent psychiatry psychiatry neurology in Punta Gorda, FL. The provider is 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. MR. Douglas James Shadle, MD NPI is 1558376905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 CROSS ST
SUITE 116
PUNTA GORDA, FL
ZIP 33950-872
Phone: (941) 639-4248
Fax: (941) 639-8002

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084F0202X	Psychiatry & Neurology	Forensic Psychiatry	ME76084	FLORIDA	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	ME76084	FLORIDA	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	ME76084	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD19739	OTHER	WASHINGTON	HLTH PROF QUAL ASSURANCE
2	ME76084	OTHER	FLORIDA	DEPT OF HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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