Shuja Haque, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301055826 Issued in MI

Practice address

4646 John R Street
11MH
Detroit, MI 48201-1916

Phone

(313) 576-3373

Fax

(313) 576-1091

NPI assigned

Aug 30, 2006

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Michigan Behavioral Medicine PLLCGroup PAC ID 8325069305, 24 clinicians

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shuja.haque.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Oakland Psychological Clinic of Michigan

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851161285
  Medicare reassignment Care Compare group NPD
• Michigan Behavioral Medicine PLLC

  • Psychiatry Physician
  • Troy, MI
  • NPI 1144317116
  Medicare reassignment Care Compare group
• Abh Corporation

  dba Abaris Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Novi, MI
  • NPI 1487828281
  Medicare reassignment NPD
• Abh Corporation

  dba Abaris Behavioral Health

  • Clinical Psychologist
  • Shelby Township, MI
  • NPI 1225368889
  NPD
• Oakland Psychological Clinic, P.C.

  • Mental Health Counselor
  • Flint, MI
  • NPI 1538356282
  NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Oakland Psychological Clinic of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
  • NPI 1376300616
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• John D. Dingell VA Medical Center

  • VA Clinic/Center
  • Detroit, MI
  • NPI 1538272828
  NPD (past)
• Seniors Wellness Group of Michigan, P.C.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1801848718
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1427167378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 JOHN R ST",
            "address_2": "11MH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3373",
            "fax_number": "313-576-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 JOHN R STREET",
            "address_2": "11MH",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011916",
            "telephone_number": "313-576-3373",
            "fax_number": "313-576-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SHUJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301055826",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MI",
            "license": "4301055826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2606339032",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347496",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4369742",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Farha Haque, MD
• Furwa Haque, RDN
• Mohammed Ziaal Haque, M.D.
• Naomi Haque
• Samra Haque
• Syeda Zofeshan Haque, M.D
• Fatima Harajli
• Michael Harakas
• Adrienne Haralson
• Alan Christopher Haras, MA, MSW, LMSW

• Psychiatry Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.

Verify at the official NPI Registry.