Shaw-Draves Psychological Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SHAW-DRAVES PSYCHOLOGICAL SERVICES

Practice address

29501 Greenfield Rd Ste 138
Southfield, MI 48076-2250

Phone

(248) 207-1499

Fax

(248) 856-2783

NPI assigned

Mar 19, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Suzanne Shaw-Draves, M.A., LLPNPI 1508882879

Title

Limited License Psychologist

Phone

(248) 207-1499

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Elizabeth Suzanne Shaw-Draves, LLP

  • Clinical Psychologist
  • Birmingham, MI
  • NPI 1508882879
  NPD Authorized official

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1154070027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2287 FRANKLIN RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723302",
            "telephone_number": "248-209-7149",
            "fax_number": "248-856-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29501 GREENFIELD RD STE 138",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762250",
            "telephone_number": "248-207-1499",
            "fax_number": "248-856-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW-DRAVES PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "SHAW-DRAVES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "LIMITED LICENSE PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-207-1499",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LLP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "eshawdraves@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "provider business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "29501 Greenfield Rd Ste 138",
            "city": "Southfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480762250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William Coleman Sharp, MD
• Ayana Sharpe
• Abhishek Sushil Shastry, DO
• Clarace Shaver
• Yolanda Shavers
• Amanda D Shaw
• Arguster Shaw, LLMSW,CADC
• Barret Shaw, MD
• Randall Loren Shaw, D.D.S.,M.S.
• Shawna'S Help Desk LLC

• Community/Behavioral Health Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.