Active NPI
Shady S Shebak, M.D.
- Psychiatry Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301110580
- Practice address
- 3815 Pelham St Ste 13
Dearborn, MI 48124-3852 - Phone
- (131) 368-0080
- Fax
- (313) 241-9342
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 4301110580 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301110580 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 99999 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301110580 | MI | |
| Psychiatry Physician | 2084P0800X | 4301110580 | MI | Primary |
Addresses
Primary practice location
3815 Pelham St Ste 13
Dearborn, MI 48124-3852
Mailing address
3815 Pelham St Ste 13
Dearborn, MI 48124-3852
Phone (131) 368-0080
Other practice location 1
17330 Farmington Rd
Livonia, MI 48152-3158
Phone (313) 722-4683
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831910484 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 W Big Beaver Rd
Suite 1400
Troy, MI 48084-5295
Phone (586) 343-1022
17332 Farmington Rd
Livonia, MI 48152-3158
Phone (734) 855-4883
305 E Eisenhower Pkwy
Suite 316
Ann Arbor, MI 48108-3348
Phone (855) 940-4867
3815 Pelham St
Dearborn, MI 48124-3852
Phone (313) 429-0470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99999 | MI | MD | Child & Adolescent Psychiatry Physician |
| 4301110580 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Psych PLLC | Psychiatry | Current | Accepting new patients |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Henry Ford Health Eastwood Behavioral Health | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Psychiatry | Current | Accepting new patients |
| Physician Care Solutions P.C. | Current | Accepting new patients | |
| Core Psych Livonia, PLC | Psychiatry | Current | Accepting new patients |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Core Psych East | Psychiatry | Current | Accepting new patients |
| Sacred Heart Medical Centre PC | Addiction Medicine | Past | Accepting new patients |
| Henry Ford Health Eastwood Behavioral Health | Psychiatry | Past | Accepting new patients |
| Kamran F. Sheikh MD PC | Past | Accepting new patients |
Locations
3815 Pelham St
Ste 13
Dearborn, MI 48124
Phone (313) 588-1402
3815 Pelham St
Dearborn, MI 48124
Phone (313) 429-0470
3815 Pelham St
Ste 16
Dearborn, MI 48124
3815 Pelham St
Ste 15
Dearborn, MI 48124
17330 Farmington Rd
Livonia, MI 48152
Phone (313) 722-4683
17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070
17332 Farmington Rd
Livonia, MI 48152
Phone (586) 961-6420
28 1st St
Mount Clemens, MI 48043
Phone (586) 466-6130
1460 Walton Blvd
Ste 120
Rochester Hills, MI 48309
Phone (248) 844-6234
24055 Jefferson Ave
Ste 103
Saint Clair Shores, MI 48080
Phone (586) 445-2210
23077 Greenfield Rd
Ste 445
Southfield, MI 48075
Phone (248) 559-1266
13459 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 301-3030
23268 Ecorse Rd
Taylor, MI 48180
Phone (313) 299-8684
101 W Big Beaver Rd
Ste 1400
Troy, MI 48084
Phone (248) 687-1200
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Interoperability endpoints
- sshebak1151067@direct.hfhs.org
- shady.shebak.1@18773.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Psychiatry Physician
- Livonia, MI
- NPI 1194560334
-
- Psychiatry Physician
- Dearborn, MI
- NPI 1871069039
-
- Internal Medicine Physician
- Troy, MI
- NPI 1285265983
-
- Psychiatry Physician
- Livonia, MI
- NPI 1700440203
-
- Social Worker
- Clinton Township, MI
- NPI 1396787701
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Psychiatry Physician
- Mount Clemens, MI
- NPI 1760239214
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Psychiatry Physician
- Grand Rapids, MI
- NPI 1700894623
-
- Psychologist
- Saint Clair Shores, MI
- NPI 1104044676
Psychiatry
-
- Family Medicine Physician
- Farmington, MI
- NPI 1205862513
-
- Family Medicine Physician
- Farmington Hills, MI
- NPI 1558588772
Addiction Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1629416169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 PELHAM ST STE 13",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243852",
"telephone_number": "131-368-0080",
"fax_number": "313-241-9342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 PELHAM ST STE 13",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481243852",
"telephone_number": "131-368-0080",
"fax_number": "313-241-9342"
}
],
"practiceLocations": [
{
"address_1": "17330 Farmington Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481523158",
"country_code": "US",
"telephone_number": "313-722-4683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEBAK",
"first_name": "SHADY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "MI",
"license": "4301110580",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301110580",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "99999",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301110580",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301110580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831910484",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.