Organization Active NPI

Psychiatric Healing, PLLC

  • Psychiatry Physician
  • Saint Clair Shores, MI
National Provider Identifier
1982212429
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCHIATRIC HEALING, PLLC
Practice address
22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057
Phone
(586) 800-5110
Fax
(586) 218-7211
NPI assigned
Jul 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Dr. Elizabeth Ann Schnur, MD, PH.DNPI 1740440122
Title
Owner
Phone
(586) 800-5110

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057

Mailing address

22811 Greater Mack Ave Ste L7
Saint Clair Shores, MI 48080-2057
Phone (586) 800-5110

Other practice location 1

35031 23 Mile Rd
New Baltimore, MI 48047-3649
Phone (802) 777-8703

Other practice location 2

20825 Mack Ave Ste 3
Grosse Pointe Woods, MI 48236-1483
Phone (586) 775-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200827001592 MI Part B Supplier - Clinic/Group Practice 1355768946 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair Shores, MI

National Provider Directory

National Provider Directory

Locations

22811 Greater Mack Ave
Ste L7
St Clr Shores, MI 48080
Phone (586) 800-5110

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1982212429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L7",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-800-5110",
            "fax_number": "586-218-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22811 GREATER MACK AVE STE L7",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480802057",
            "telephone_number": "586-800-5110",
            "fax_number": "586-218-7211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35031 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "New Baltimore",
            "state": "MI",
            "postal_code": "480473649",
            "country_code": "US",
            "telephone_number": "802-777-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20825 Mack Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Woods",
            "state": "MI",
            "postal_code": "482361483",
            "country_code": "US",
            "telephone_number": "586-775-7400",
            "fax_number": "586-218-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCHIATRIC HEALING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "SCHNUR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-800-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PH.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.

Verify at the official NPI Registry.