Active NPI
Project Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Saint Clair Shores, MI
National Provider Identifier
1609622638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PROJECT WELLNESS, LLC
- Practice address
- 27739 Jefferson Ave
Saint Clair Shores, MI 48081-1309 - Phone
- (586) 315-2874
- Fax
- (586) 231-3811
- NPI assigned
- Apr 29, 2024
- Last updated
- Oct 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Shields, PMHNP-BC
- Title
- Nurse Practitioner
- Phone
- (586) 315-2874
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
27739 Jefferson Ave
Saint Clair Shores, MI 48081-1309
Mailing address
23747 Glenbrook St
Saint Clair Shores, MI 48082-2505
National Provider Directory
National Provider DirectoryLocations
28 1st St
Mount Clemens, MI 48043
Phone (586) 466-6130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Saint Clair Shores, MI
- NPI 1417361361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1609622638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23747 GLENBROOK ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480822505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27739 JEFFERSON AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480811309",
"telephone_number": "586-315-2874",
"fax_number": "586-231-3811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROJECT WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-29",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "SHIELDS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "586-315-2874",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
- Primary Care Nurses Home Healthcare LLC
- Professional Dental Alliance of Michigan, LLC (Dental Care of Michigan, Shores)
- Professional Dietitian Services, LLC
- Professional Hearing Aid Center
- Project Wellness LLC
- Kevin Donald Prush, DDS
- Gabrielle Elizabeth Pryor
- Sandra J Prytula
- Kristin Psink
- Psy-Che PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.