Organization Active NPI

Shari Slebodnik, PHD

  • Community/Behavioral Health Agency
  • Troy, MI
National Provider Identifier
1952967317
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

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

Authorized official

Name
Dr. Shari Slebodnik, PHD, LLPNPI 1205065182
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.