Active NPI
Shari Slebodnik, PHD
- Community/Behavioral Health Agency
- Troy, MI
National Provider Identifier
1952967317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SHARI SLEBODNIK, PHD
- Doing business as
- Shari Slebodnik, PhD
- Practice address
- 1700 W Big Beaver Rd Ste 200
Troy, MI 48084-3524 - Phone
- (586) 838-0825
- Fax
- (248) 809-4134
- NPI assigned
- May 11, 2019
- Last updated
- Jul 22, 2020
- 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. Shari Slebodnik, PHD, LLP
- Title
- Ceo/Clinical Director
- Phone
- (586) 838-0825
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1700 W Big Beaver Rd Ste 200
Troy, MI 48084-3524
Mailing address
24674 Berry Ave
Warren, MI 48089-2132
Phone (586) 838-0825
Other practice location 1
1700 W Big Beaver Rd Ste 200
Troy, MI 48084-3524
Phone (586) 838-0825
Other names 1
- Shari Slebodnik, PhD
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, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Troy, MI
- NPI 1205065182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595376000000",
"number": "1952967317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24674 BERRY AVE",
"city": "WARREN",
"state": "MI",
"postal_code": "480892132",
"telephone_number": "586-838-0825",
"fax_number": "248-809-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W BIG BEAVER RD STE 200",
"city": "TROY",
"state": "MI",
"postal_code": "480843524",
"telephone_number": "586-838-0825",
"fax_number": "248-809-4134"
}
],
"practiceLocations": [
{
"address_1": "1700 W Big Beaver Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480843524",
"country_code": "US",
"telephone_number": "586-838-0825",
"fax_number": "248-809-4134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHARI SLEBODNIK, PHD",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-11",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A",
"authorized_official_last_name": "SLEBODNIK",
"authorized_official_first_name": "SHARI",
"authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "586-838-0825",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LLP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shari Slebodnik, PhD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.