Individual provider Active NPI

Elizabeth Ann Schnur, M.D., PH.D.

  • Psychiatry Physician
  • Saint Clair Shores, MI
National Provider Identifier
1740440122
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301112618 Issued in MI
Practice address
22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057
Phone
(586) 800-5110
Fax
(586) 218-7211
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301112618 MI Primary

Addresses

Primary practice location

22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057

Mailing address

22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057
Phone (586) 800-5110

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
I20181017000417 MI Practitioner - Psychiatry 7012193899 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Tulane University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22811 Greater Mack Ave
Suite L7
Saint Clair Shores, MI 48080-2057
Phone (586) 800-5110

812 E Jolly Rd
Lansing, MI 48910-6818
Phone (517) 346-8200

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4301112618MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Guidance Center CurrentSince Apr 5, 2022 Accepting new patients
Community Mental Health Authority of Clinton Eaton Ingham Counties Psychiatry CurrentSince Jan 11, 2026 Accepting new patients
PHC of Michigan LLC CurrentSince Jun 1, 2020 Accepting new patients
PHC of Michigan, LLC Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Psychiatric Healing, PLLC Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Lifeline Center, PLLC CurrentSince Aug 5, 2019 Accepting new patients
Henry Ford Maplegrove Center Past Accepting new patients

Locations

41800 Hayes Rd
Ste 208
Clinton Twp, MI 48038
Phone (586) 203-2170

812 E Jolly Rd
Lansing, MI 48910
Phone (517) 237-7162

35031 23 Mile Rd
New Baltimore, MI 48047
Phone (586) 684-4870

13101 Allen Rd
Southgate, MI 48195
Phone (734) 785-7701

22811 Greater Mack Ave
Ste L7
St Clr Shores, MI 48080
Phone (586) 800-5110

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1740440122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L7",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-800-5110",
            "fax_number": "586-218-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L7",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-800-5110",
            "fax_number": "586-218-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNUR",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301112618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.