IndividualActive
Patrica Shackleford, PH.D.
NPI 1316361801 · Mental Health Counselor · Melrose, FL
Provider details
- NPI number
- 1316361801
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MH5805 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2380 Se County Road 21b
Melrose, FL 32666-5113
Phone: (352) 475-3311
Fax: (866) 811-2779
Street-level locationGet directions
Mailing address
2380 Se County Road 21b
Melrose, FL 32666-5113
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2014-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.