Individual provider Active NPI

Shady S Shebak, M.D.

  • Psychiatry Physician
  • Dearborn, MI
National Provider Identifier
1629416169
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301110580 Issued in MI
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

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
831910484MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170705000602 MI Practitioner - Psychiatry 1951536895 Reassigns benefits to 6 organizations

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
Physician Care Solutions PCGroup PAC ID 3678903465, 23 clinicians
Core Psych Livonia PLCGroup PAC ID 5496293235, 2 clinicians
Arman C Moshyedi MD PLLCGroup PAC ID 1658603576, 13 clinicians
Core Psych, PLLCGroup PAC ID 8325384225, 4 clinicians

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

LicenseStateTypeSpecialty
99999MIMDChild & Adolescent Psychiatry Physician
4301110580MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Core Psych PLLC Psychiatry CurrentSince Nov 27, 2018 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jun 27, 2017 Accepting new patients
Henry Ford Health Eastwood Behavioral Health CurrentSince Oct 7, 2022 Accepting new patients
Pine Rest Christian Mental Health Services Psychiatry CurrentSince Jun 27, 2017 Accepting new patients
Physician Care Solutions P.C. CurrentSince Dec 8, 2024 Accepting new patients
Core Psych Livonia, PLC Psychiatry CurrentSince Jun 10, 2024 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 PastSince Feb 19, 2023 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

  • Direct secure messaging: sshebak1151067@direct.hfhs.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.