Shannon Marie Harbin, PHD LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301017593 Issued in MI

Practice address

36216 Freedom Rd Ste 27
Farmington Hills, MI 48335-3002

Phone

(734) 335-0845

NPI assigned

Aug 15, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shannon M Harbin PHD LLC

  • Adult Mental Health Clinic/Center
  • Farmington Hills, MI
  • NPI 1013699206
  Medicare reassignment NPD Authorized official
• Total Health & Wellness Associates

  • Health Psychologist
  • Farmington Hills, MI
  • NPI 1104151950
  NPD
• Total Health & Wellness Associates

  • Counselor
  • Farmington Hills, MI
  • NPI 1801348420
  NPD (past)

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1972029676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36216 FREEDOM RD STE 27",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353002",
            "telephone_number": "810-348-1745",
            "fax_number": "734-545-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36216 FREEDOM RD STE 27",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353002",
            "telephone_number": "734-335-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBIN",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHD LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Haque
• Melisa Haracic
• Zeinab Harajli
• Maya Harbert
• Leciddier Harbin
• Keerstin Harbison
• Shannon Harbison
• Angela Harbor
• Bailey Harborth
• Rosa Harborth

• Clinical Psychologist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.