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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHAH FAISAL
NPI 1134092851
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since September 29, 2025
1909 CAREW ST, FORT WAYNE, IN 46805(260) 481-2700 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shah Faisal NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAH FAISAL (NPI 1134092851) is an individual psychiatric/mental health provider in Fort Wayne, Indiana, licensed in Indiana (28274111A) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1134092851
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHAH FAISAL
Location Address1909 CAREW STFort Wayne, IN 46805-4707
Mailing Address1005 Almdale DrFort Wayne, IN 46818-8427 · (260) 804-0792
Phone(260) 481-2700
Sole ProprietorYes
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1134092851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 28274111A
1909 CAREW ST, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS TODORAN MSW
Social Worker (Clinical)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
CARMEN MAE STOLLER
Nurse Practitioner
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
THOMAS B ALLMAN LMHC, MA
Counselor (Mental Health)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
INA S. CARLSON PH.D., HSPP
Psychologist (Clinical)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
JENNIFER E NUCE MA
Counselor (Mental Health)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
PARK CENTER INC
Psychiatric Hospital
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2809
ANDREA NAAUM M.D
Psychiatry & Neurology (Psychiatry)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800
MRS. CLAIRE ALLISON CLERKLEY
Counselor (Mental Health)
1909 CAREW ST
FORT WAYNE, IN 46805
Allen County (260) 481-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shah Faisal's NPI number?

The NPI number for Shah Faisal is 1134092851. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Shah Faisal located?

Shah Faisal practices at 1909 Carew St, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Shah Faisal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shah Faisal was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.