| Core Psych PLLC | |
|
3815 Pelham St Dearborn MI 48124-3852 | |
| (313) 429-0470 | |
| Not Available |
| Full Name | Core Psych PLLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3815 Pelham St, Dearborn, Michigan |
| Authorized Official Name and Position | Shady Shebak (PSYCHIATRIST) |
| Authorized Official Contact | 3134290470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Psych PLLC 3815 Pelham St Ste 13 Dearborn MI 48124-3852 Ph: (313) 680-0804 | Core Psych PLLC 3815 Pelham St Dearborn MI 48124-3852 Ph: (313) 429-0470 |
| NPI Number | 1871069039 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 07/08/2021 |
| Certification Date | 07/08/2021 |
| Medicare PECOS PAC ID | 8325384225 |
|---|---|
| Medicare Enrollment ID | O20190115000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871069039 | NPI | - | NPPES |
| Provider Name | Jennifer K Sam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336405059 PECOS PAC ID: 3971757345 Enrollment ID: I20130212000397 |
| Provider Name | Cynthia a Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417361361 PECOS PAC ID: 9739305210 Enrollment ID: I20140717002360 |
| Provider Name | Shady S Shebak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629416169 PECOS PAC ID: 1951536895 Enrollment ID: I20170705000602 |
| Provider Name | Zeinab Csw Zahreldin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841546439 PECOS PAC ID: 1658602313 Enrollment ID: I20191010000458 |
| Provider Name | Marisa Zenas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447893912 PECOS PAC ID: 1658799598 Enrollment ID: I20200909003026 |
| Provider Name | Oula Chehab |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164995841 PECOS PAC ID: 4284044017 Enrollment ID: I20201106001887 |
| Provider Name | Talal Sabrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124668264 PECOS PAC ID: 3072646710 Enrollment ID: I20201124000756 |
| Provider Name | Logan Sparks |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306436845 PECOS PAC ID: 2668886078 Enrollment ID: I20210126002708 |
| Provider Name | Youssef Makki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447825989 PECOS PAC ID: 1759784507 Enrollment ID: I20210730001624 |
| Provider Name | Mohamad Badaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659004919 PECOS PAC ID: 0840660098 Enrollment ID: I20230104000275 |
| Provider Name | Alexis Mrozinski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649976846 PECOS PAC ID: 9931563368 Enrollment ID: I20230918003291 |
| Provider Name | Rami a Harb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376361170 PECOS PAC ID: 2163942699 Enrollment ID: I20250226003856 |
| Provider Name | Leayan Chehab |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861295479 PECOS PAC ID: 5193202166 Enrollment ID: I20260121002057 |
| Provider Name | Jason D Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194653899 PECOS PAC ID: 5597238329 Enrollment ID: I20260624000659 |
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