Individual provider Active NPI

Malini Shenava, M.D.

  • Psychiatry Physician
  • Canton, MI
National Provider Identifier
1336248905
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301065054 Issued in MI
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, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090209000088 MI Practitioner - Psychiatry 1951350909 Reassigns benefits to 2 organizations

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
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

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

OrganizationSpecialtyStatusNew patients
Starfish Family Services Inc. CurrentSince Oct 3, 2009 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Sep 21, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.