Dr Chadwick J Shade, PHD - Psychologist in Elmendorf Afb, AK

Dr Chadwick J Shade, PHD is a Psychologist - Clinical based in Elmendorf Afb, Alaska. Dr Chadwick J Shade is licensed to practice in Missouri (license number PSY0091) and his current practice location is 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, Alaska. He can be reached at his office (for appointments etc.) via phone at (907) 580-2181.

NPI number for Dr Chadwick J Shade is 1255658860 and his current mailing address is 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255658860.

Contact Information

Dr Chadwick J Shade, PHD
5955 Zeamer Avenue, 3rd Mdg,
Elmendorf Afb, AK 99506
(907) 580-2181
Not Available



Healthcare Provider's Profile

Full NameDr Chadwick J Shade
GenderMale
SpecialityPsychologist - Clinical
Location5955 Zeamer Avenue, Elmendorf Afb, Alaska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255658860
  • Provider Enumeration Date: 04/23/2010
  • Last Update Date: 04/23/2010

Medical Identifiers

Medical identifiers for Dr Chadwick J Shade such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255658860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY0091 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chadwick J Shade is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Chadwick J Shade, PHD
5955 Zeamer Avenue, 3rd Mdg,
Elmendorf Afb, AK 99506

Ph: (907) 580-2181
Dr Chadwick J Shade, PHD
5955 Zeamer Avenue, 3rd Mdg,
Elmendorf Afb, AK 99506

Ph: (907) 580-2181

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› Verified 4 days ago


Psychologist in Elmendorf Afb, AK

Dr. Richard Thomas Barker, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 5955 Zeamer Ave, Elmendorf Afb, AK 99506
Phone: 907-580-2181    Fax: 907-580-1776
Dr. Vicki Ann Lumley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 5955 Zeamer Ave, 3 Mdos/sgoh, Elmendorf Afb, AK 99506
Phone: 907-580-2089    Fax: 907-580-1776

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