NPIMap

Organization Active NPI

Shine and Shadow, LLC

  • Clinical Psychologist
  • Ypsilanti, MI
National Provider Identifier
1871249060
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SHINE AND SHADOW, LLC
Practice address
13 N Washington St Ste 155
Ypsilanti, MI 48197-2617
Phone
(312) 909-2659
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Kulkiran Nakai, PSY.D.NPI 1538673264
Title
Licensed Clinical Psychologist
Phone
(312) 909-2659

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

13 N Washington St Ste 155
Ypsilanti, MI 48197-2617

Mailing address

13 N Washington St Ste 155
Ypsilanti, MI 48197-2617
Phone (312) 909-2659

National Provider Directory

National Provider Directory

Locations

13 N Washington St
Ste 155
Ypsilanti, MI 48197
Phone (312) 909-2659

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1871249060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 N WASHINGTON ST STE 155",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972617",
            "telephone_number": "312-909-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N WASHINGTON ST STE 155",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972617",
            "telephone_number": "312-909-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE AND SHADOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "NAKAI",
        "authorized_official_first_name": "KULKIRAN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "312-909-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.