Active NPI
Malini Shenava, M.D.
- Psychiatry Physician
- Canton, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301065054
- Practice address
- 6223 N Canton Center Rd
Suite 210
Canton, MI 48187-2696 - Phone
- (734) 737-1200
- NPI assigned
- Sep 21, 2006
- Last updated
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301065054 | MI | Primary |
Addresses
Primary practice location
6223 N Canton Center Rd
Suite 210
Canton, MI 48187-2696
Mailing address
6015 Oak TRL
West Bloomfield, MI 48322-2073
Phone (734) 737-1200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5958 N Canton Ctr Rd
Suite 900
Canton, MI 48187-2740
Phone (734) 737-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starfish Family Services Inc. | Current | Accepting new patients | |
| Downriver Mental Health Clinic PC | Current | Accepting new patients | |
| Hegira Health, Inc. | Past | Accepting new patients | |
| Lifespan Clinical Serivces | Past | Accepting new patients |
Locations
1760 S Telegraph Rd
Ste 220
Bloomfield Hills, MI 48302
Phone (248) 587-7618
1760 S Telegraph Rd
Ste 200
Bloomfield Township, MI 48302
2200 Genoa Business Park Dr
Ste 100
Brighton, MI 48114
Phone (810) 449-7180
7600 Grand River Rd
Ste 290
Brighton, MI 48114
Phone (810) 220-2787
5958 N Canton Center Rd
Ste 900
Canton, MI 48187
Phone (734) 408-1149
1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787
30000 Hiveley St
Inkster, MI 48141
Phone (734) 727-3142
18316 Middlebelt Rd
Livonia, MI 48152
Phone (248) 615-9730
29201 Telegraph Rd
Ste 550
Southfield, MI 48034
Phone (248) 213-0501
20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282
Interoperability endpoints
- lifestancehealth.malinishenava@150339.advancedmd-direct.com
Organizations & group practices 4
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.
-
dba Lifespan Clinical Services
- Community/Behavioral Health Agency
- Inkster, MI
- NPI 1184865776
-
- Primary Care Clinic/Center
- Westland, MI
- NPI 1477141356
-
- Community/Behavioral Health Agency
- Livonia, MI
- NPI 1841338217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1336248905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 OAK TRL",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222073",
"telephone_number": "734-737-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 N CANTON CENTER RD",
"address_2": "SUITE 210",
"city": "CANTON",
"state": "MI",
"postal_code": "481872696",
"telephone_number": "734-737-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENAVA",
"first_name": "MALINI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301065054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.