Sherwin Shaji

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12200 E 13 Mile Rd
Warren, MI 48093-3093

Phone

(586) 573-1810

NPI assigned

Mar 17, 2023

Sex

Female

Sole proprietor

No

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

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.

• Judson Center, Inc.

  • Community/Behavioral Health Agency
  • Royal Oak, MI
  • NPI 1033264890
  NPD (past)
• Judson Center, Inc.

  • Family Medicine Physician
  • Warren, MI
  • NPI 1396217600
  NPD (past)

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1538860366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36839 AARON CT",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123001",
            "telephone_number": "586-337-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAJI",
        "first_name": "SHERWIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharvil Shah, DMD
• Sonal Shah, B.D.S, D.D.S, M.S.
• Shahara Home Care LLC
• David Shaheen, DDS
• Philip Jeffrey Shaheen, M.D.
• Ganeshkumar Shanmugasundaram, RPT
• Tim Shannahan, PT
• Jessica Shantz, PMHNP-BC
• Shar, Inc.
• Ghanem Sharabi, MD

• All providers in Warren, MI
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.