Active NPI
Gerald a. Shiener, M.D.,P.C.
- Psychiatry Physician
- Birmingham, MI
National Provider Identifier
1932459567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301036563
- Legal business name
- GERALD A. SHIENER, M.D.,P.C.
- Practice address
- 251 E Merrill St
Suite 230
Birmingham, MI 48009-6121 - Phone
- (248) 645-5155
- Fax
- (248) 645-2665
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald A Shiener, M.D.
- Title
- Owner
- Phone
- (248) 645-5155
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301036563 | MI | Primary |
| Addiction Psychiatry Physician | 2084P0802X | 4301036563 | MI | |
| Geriatric Psychiatry Physician | 2084P0805X | 4301036563 | MI |
Addresses
Primary practice location
251 E Merrill St
Suite 230
Birmingham, MI 48009-6121
Mailing address
251 E Merrill St
Suite 230
Birmingham, MI 48009-6121
Phone (248) 645-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2091739 MI | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Psychiatry Physician
- Birmingham, MI
- NPI 1457409088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1932459567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E MERRILL ST",
"address_2": "SUITE 230",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096121",
"telephone_number": "248-645-5155",
"fax_number": "248-645-2665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E MERRILL ST",
"address_2": "SUITE 230",
"city": "BIRMINGHAM",
"state": "MI",
"postal_code": "480096121",
"telephone_number": "248-645-5155",
"fax_number": "248-645-2665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD A. SHIENER, M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "SHIENER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-645-5155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301036563",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "MI",
"license": "4301036563",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MI",
"license": "4301036563",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2091739 MI",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.