Provider Type Icon

CORE PSYCH PLLC NPI 1871069039


NPI Information

NPI: 1871069039
Provider Name: CORE PSYCH PLLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 23D2221103

Address:
3815 PELHAM ST
DEARBORN, MI
ZIP 48124
Phone: (313) 429-0470
Get Directions

CORE PSYCH PLLC is a psychiatry psychiatry neurology in Dearborn, MI. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CORE PSYCH PLLC NPI is 1871069039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3815 PELHAM ST
DEARBORN, MI
ZIP 48124-852
Phone: (313) 429-0470

The provider's authorized official is Shady Shebak .
The authorized official title is Psychiatrist and has the following contact phone number (313) 429-0470.

The CLIA number assigned to this NPI record is 23D2221103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2018 and was last updated on 7/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3103T00000XPsychologistNo
4103TA0400XPsychologistAddiction (Substance Use Disorder)No
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC0700XPsychologistClinicalNo
7103TC1900XPsychologistCounselingNo
8103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
9104100000XSocial WorkerNo
10106H00000XMarriage & Family TherapistNo
111835P1300XPharmacistPsychiatricNo
122084P0800XPsychiatry & NeurologyPsychiatryYes
13363A00000XPhysician AssistantNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.