=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285522730
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SHIELD PSYCHIATRY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2025
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 27524 CASHFORD CIR STE 102
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-6947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-592-7228
-----------------------------------------------------
Fax | 813-537-8744
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 27524 CASHFORD CIR STE 102
-----------------------------------------------------
City | WESLEY CHAPEL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33544-6947
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-592-7228
-----------------------------------------------------
Fax | 813-537-8744
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PEDIATRIC & ADOLESCENT PSYCH NP
-----------------------------------------------------
Name | DR. MARIE DANISE AKERS
-----------------------------------------------------
Credential | DNP, APRN, PMHNP-BC
-----------------------------------------------------
Telephone | 813-592-7228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------