Shanle Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

SHANLE PSYCHOLOGICAL SERVICES LLC

Practice address

14533 Mack Ave
Detroit, MI 48215-2520

Phone

(313) 605-9400

NPI assigned

Sep 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly HeltonNPI 1811687395

Title

Office Manager

Phone

(313) 231-1771

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly S Helton, LLPC

  • Counselor
  • Detroit, MI
  • NPI 1811687395
  NPD Authorized official
• Summer Madden, MA, TLLP

  • Psychologist
  • Detroit, MI
  • NPI 1336816321
  NPD
• John Samuel Shanle, PSYS, LLP

  • Psychologist
  • Eastpointe, MI
  • NPI 1043300049
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1043980097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14533 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152520",
            "telephone_number": "313-605-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152520",
            "telephone_number": "313-605-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANLE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-231-1771"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Shanholtzer, MD
• Dolores Shank, RN
• Seetha Shankaran, MD
• Nirvan Shanker, MD
• Terell Shanks
• Ahmad I Shannir, D.D.S.
• Audreanna Shalise Shannon
• Dianne Lajoyce Shannon, LLBSW
• Marquisa Danae Shannon, B.A,M.B.A
• Melissa Shannon, R.D.

• Counseling Psychologist in Detroit, MI
• Providers in Detroit, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.