Core Psych Pllc | |
3815 Pelham St Dearborn MI 48124-3852 | |
(313) 429-0470 | |
Not Available |
Full Name | Core Psych Pllc |
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Speciality | Psychiatry & Neurology |
Location | 3815 Pelham St, Dearborn, Michigan |
Authorized Official Name and Position | Shady Shebak (PSYCHIATRIST) |
Authorized Official Contact | 3134290470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Core Psych Pllc 3815 Pelham St Ste 13 Dearborn MI 48124-3852 Ph: (313) 680-0804 | Core Psych Pllc 3815 Pelham St Dearborn MI 48124-3852 Ph: (313) 429-0470 |
NPI Number | 1871069039 |
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Provider Enumeration Date | 10/15/2018 |
Last Update Date | 07/08/2021 |
Certification Date | 07/08/2021 |
Medicare PECOS PAC ID | 8325384225 |
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Medicare Enrollment ID | O20190115000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871069039 | NPI | - | NPPES |
Provider Name | Jennifer K Sam |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336405059 PECOS PAC ID: 3971757345 Enrollment ID: I20130212000397 |
Provider Name | Cynthia A Shields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417361361 PECOS PAC ID: 9739305210 Enrollment ID: I20140717002360 |
Provider Name | Shady S Shebak |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629416169 PECOS PAC ID: 1951536895 Enrollment ID: I20170705000602 |
Provider Name | Zeinab Csw Zahreldin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841546439 PECOS PAC ID: 1658602313 Enrollment ID: I20191010000458 |
Provider Name | Talal Sabrah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124668264 PECOS PAC ID: 3072646710 Enrollment ID: I20201124000756 |
Provider Name | Youssef Makki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447825989 PECOS PAC ID: 1759784507 Enrollment ID: I20210730001624 |
Provider Name | Mohamad Badaoui |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659004919 PECOS PAC ID: 0840660098 Enrollment ID: I20230104000275 |
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