Organization Active NPI

Shazia Siddiqi PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clawson, MI
National Provider Identifier
1124647425
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHAZIA SIDDIQI PLLC
Practice address
36 E 14 Mile Rd
Clawson, MI 48017-2133
Phone
(248) 397-4649
NPI assigned
Apr 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Authorized official

Name
Shazia Siddiqi, LPCNPI 1114438512
Title
Owner
Phone
(248) 397-4649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

36 E 14 Mile Rd
Clawson, MI 48017-2133

Mailing address

951 Longfellow Dr
Troy, MI 48085-7900
Phone (248) 210-5118

Other practice location 1

951 Longfellow Dr
Troy, MI 48085-7900
Phone (248) 397-4649

Other names 1

  • Let's Art About It Doing business as

National Provider Directory

National Provider Directory

Locations

36 E 14 Mile Rd
Clawson, MI 48017
Phone (248) 210-5118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1124647425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 LONGFELLOW DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480857900",
            "telephone_number": "248-210-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480172133",
            "telephone_number": "248-397-4649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Longfellow Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480857900",
            "country_code": "US",
            "telephone_number": "248-397-4649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHAZIA SIDDIQI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-16",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "SIDDIQI",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-397-4649",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Let's Art About It",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clawson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.