Individual provider Active NPI

Shirley C Faust, PHD

  • Clinical Psychologist
  • Rochester, MI
National Provider Identifier
1780738211
Registry record updated Feb 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301003226 Issued in MI
Practice address
115 Walnut
Suite #2
Rochester, MI 48307-2086
Phone
(248) 650-3200
Fax
(248) 650-3225
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301003226 MI Primary

Addresses

Primary practice location

115 Walnut
Suite #2
Rochester, MI 48307-2086

Mailing address

115 Walnut
Suite #2
Rochester, MI 48307-2086
Phone (248) 650-3200

Other names 1

  • Dr. Shirley Faust Heliste Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000720 MI Practitioner - Clinical Psychologist 6305930249 Practice locations: Rochester Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

441 S Livernois Rd
Suite 190
Rochester Hills, MI 48307-2591
Phone (248) 650-3200

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1780738211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WALNUT",
            "address_2": "SUITE #2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072086",
            "telephone_number": "248-650-3200",
            "fax_number": "248-650-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WALNUT",
            "address_2": "SUITE #2",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483072086",
            "telephone_number": "248-650-3200",
            "fax_number": "248-650-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUST",
        "first_name": "SHIRLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "HELISTE",
            "middle_name": "FAUST",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.