Individual provider Active NPI

Shasha Maria Camaj, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1457546806
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009569 Issued in MI
Practice address
5340 Plymouth Rd Ste 210
Ann Arbor, MI 48105-9559
Phone
(734) 834-5777
NPI assigned
Sep 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009569 MI Primary

Addresses

Primary practice location

5340 Plymouth Rd Ste 210
Ann Arbor, MI 48105-9559

Mailing address

3400 Burbank Dr
Ann Arbor, MI 48105-1594
Phone (734) 834-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 30, 2015 through Sep 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301009569MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasha Kleinsorge, PH.D. Clinical CurrentSince Dec 7, 2025 Accepting new patients
Life & Family Counseling Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1457546806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BURBANK DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051594",
            "telephone_number": "734-834-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059559",
            "telephone_number": "734-834-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMAJ",
        "first_name": "SHASHA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.