Individual provider Active NPI

Rebecca Shayne Grekin, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1982266607
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301017867 Issued in MI
Practice address
5340 Plymouth Rd Ste 210
Ann Arbor, MI 48105-9559
Phone
(734) 249-8500
NPI assigned
Jul 2, 2019
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301017867 MI
Clinical Psychologist 103TC0700X 6301017867 MI Primary

Addresses

Primary practice location

5340 Plymouth Rd Ste 210
Ann Arbor, MI 48105-9559

Mailing address

312 Redrock CT
Ann Arbor, MI 48103-9095
Phone (808) 778-8930

Other practice location 1

3001 Plymouth Rd Ste 101
Ann Arbor, MI 48105-3205
Phone (734) 929-4741

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230403000671 MI Practitioner - Clinical Psychologist 0840665923 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301017867MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Behavioral Health LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2000 Green Rd
Ste 201
Ann Arbor, MI 48105

3001 Plymouth Rd
Ste 101
Ann Arbor, MI 48105
Phone (734) 219-3952

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1982266607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 REDROCK CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039095",
            "telephone_number": "808-778-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 PLYMOUTH RD STE 210",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059559",
            "telephone_number": "734-249-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Plymouth Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481053205",
            "country_code": "US",
            "telephone_number": "734-929-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREKIN",
        "first_name": "REBECCA",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017867",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301017867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.