| Core Psych Livonia, Plc | |
|
17732 Farmington Rd Livonia MI 48152-3104 | |
| (586) 961-6420 | |
| Not Available |
| Full Name | Core Psych Livonia, Plc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17732 Farmington Rd, Livonia, Michigan |
| Authorized Official Name and Position | Shady Shebak (PSYCHIATRIST) |
| Authorized Official Contact | 5869616420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Psych Livonia, Plc 3815 Pelham St Ste 13 Dearborn MI 48124-3852 Ph: (586) 961-6420 | Core Psych Livonia, Plc 17732 Farmington Rd Livonia MI 48152-3104 Ph: (586) 961-6420 |
| NPI Number | 1194560334 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/20/2024 |
| Medicare PECOS PAC ID | 5496293235 |
|---|---|
| Medicare Enrollment ID | O20240812003249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194560334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Shady S Shebak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629416169 PECOS PAC ID: 1951536895 Enrollment ID: I20170705000602 |
| Provider Name | Tony Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467075515 PECOS PAC ID: 3577001312 Enrollment ID: I20240820002885 |
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