Active NPI
Shamael Haque, D.O., PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Canton, MI
National Provider Identifier
1265295653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SHAMAEL HAQUE, D.O., PLLC
- Practice address
- 44245 Ford Rd Ste 101
Canton, MI 48187-3163 - Phone
- (248) 977-7247
- Fax
- (248) 971-2020
- NPI assigned
- Jan 30, 2024
- 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
- Shahid Syed
- Title
- Manager
- Phone
- (248) 703-3556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
44245 Ford Rd Ste 101
Canton, MI 48187-3163
Mailing address
44245 Ford Rd Ste 101
Canton, MI 48187-3163
Phone (248) 977-7247
Other names 1
- Midwest Mind Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2510 S Telegraph Rd
Ste L247
Bloomfield Township, MI 48302
44245 Ford Rd
Ste 101
Canton, MI 48187
Phone (248) 977-7247
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Dearborn, MI
- NPI 1548461734
-
- Psychiatric/Mental Health Nurse Practitioner
- Dearborn Heights, MI
- NPI 1265202709
-
- Psychiatric/Mental Health Nurse Practitioner
- Waterford, MI
- NPI 1497520480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1265295653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44245 FORD RD STE 101",
"city": "CANTON",
"state": "MI",
"postal_code": "481873163",
"telephone_number": "248-977-7247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44245 FORD RD STE 101",
"city": "CANTON",
"state": "MI",
"postal_code": "481873163",
"telephone_number": "248-977-7247",
"fax_number": "248-971-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAMAEL HAQUE, D.O., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "SYED",
"authorized_official_first_name": "SHAHID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "248-703-3556"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Mind Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Midwest Mind Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.