Yuri Shibata, NMT, MT-BC

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1669 W Maple Rd
Birmingham, MI 48009-1230

Phone

(248) 646-3347

Fax

(480) 247-5901

NPI assigned

Dec 16, 2008

Last updated

May 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Variety Far Conservatory

  • Developmentally Disabled Services Day Training Agency
  • Birmingham, MI
  • NPI 1053566398
  NPD (past)

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275177600000",
    "number": "1164667440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091230",
            "telephone_number": "248-646-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W MAPLE RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480091230",
            "telephone_number": "248-646-3347",
            "fax_number": "480-247-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBATA",
        "first_name": "YURI",
        "name_prefix": "Mrs.",
        "credential": "NMT, MT-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2010-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Galasso Bonanno & Associates, PLLC
• Steven David Sherbel, PH. D
• Lindsey Shereda
• Sherman & Sherman Counseling
• Jessica Sherman, MA, LPC
• Sarah Shields, LLMSW
• Gerald Alan Shiener, M. D.
• Shimmel Counseling Agency, LLC
• Douglas James Shimmel, LPC
• Violet Shippert, MT-BC

• Specialist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2010; 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.