Kelli Lynn Shaheen, MA TLLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014570 Issued in MI

Practice address

5701 Bow Pointe Dr Ste 380
Clarkston, MI 48346-5406

Phone

(248) 241-6514

NPI assigned

Mar 15, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

Practice roles

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

• Oakland Psychiatric Associates PC

  • Psychiatry Physician
  • Bloomfield Hills, MI
  • NPI 1184799736
  NPD (past)

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1447559513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 380",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465406",
            "telephone_number": "248-241-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 380",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483465406",
            "telephone_number": "248-241-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "KELLI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Senkyr, D.C.
• Rhiannon Joy Serrurier, CRC, LLPC
• SFMB-Snel LLC
• Jack Carl Shader, DDS
• Alli Breeann Shafran, PHARMACIST
• Peter P Shaman, MD
• Allen Shamow
• Steven Carl Shank, LMSW
• Natalie Adele Shaver
• James Charles Shaya, MD

• Clinical Psychologist in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.