Active NPI
Shazia Siddiqi PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clawson, MI
National Provider Identifier
1124647425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shazia Siddiqi, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Clawson, MI
- NPI 1114438512
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.