Shannon Sugarman Psychotherapy

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SHANNON SUGARMAN PSYCHOTHERAPY

Practice address

27655 Middlebelt Rd Ste 140
Farmington Hills, MI 48334-5029

Phone

(248) 444-6978

NPI assigned

Mar 7, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Shanon Breisacher Sugarman, LLP

Title

Psycotherapist

Phone

(248) 444-6978

Specialties & licenses 2

Addresses

Practitioners 1

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

• Shannon Sugarman

  • Clinical Psychologist
  • Inkster, MI
  • NPI 1316311426
  NPD

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1881229151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-444-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27655 MIDDLEBELT RD STE 140",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345029",
            "telephone_number": "248-444-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON SUGARMAN PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SUGARMAN",
        "authorized_official_first_name": "SHANON",
        "authorized_official_middle_name": "BREISACHER",
        "authorized_official_title_or_position": "PSYCOTHERAPIST",
        "authorized_official_telephone_number": "248-444-6978",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Omarievna Shanidze, M.D.
• Kendall Shankland
• Tamar Shanks
• Curtis Lamont Shannon Jr
• Shannon M Harbin PHD LLC
• Latasha Shannon
• Rachel N Shannon
• Serenity Shannon
• Paul Shanor
• Janet Shanteau

• Adult Mental Health Clinic/Center in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.