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CORE PSYCH LIVONIA, PLC
NPI 1194560334
Psychiatry & Neurology - Psychiatry in Livonia, MI

Active since June 28, 2024CLIA 23D2221103 · Waiver
17732 FARMINGTON RD, LIVONIA, MI 48152(586) 961-6420 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Core Psych Livonia, Plc NPPES

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

CORE PSYCH LIVONIA, PLC (NPI 1194560334) is a healthcare organization registered as a psychiatry in Livonia, Michigan and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Shady Shebak, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1194560334
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCORE PSYCH LIVONIA, PLC
Location Address17732 FARMINGTON RDLivonia, MI 48152-3104
Mailing Address3815 Pelham St Ste 13Dearborn, MI 48124-3852 · (586) 961-6420 · Fax (586) 204-0211
Phone(586) 961-6420
Organization SubpartNo
Authorized OfficialShady ShebakPsychiatrist · (586) 961-6420
Enumeration DateJune 28, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1194560334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
17732 FARMINGTON RD, Livonia, MI 48152
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Core Psych Livonia, Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Core Psych Livonia, Plc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Shady Shebak, M.D.
Psychiatry
NPI 1629416169
3815 PELHAM ST STE 13
Dearborn, MI 48124
(131) 368-0080
✔ PECOS✔ Accepts Medicare12 mi
Tony Singh, DO
Psychiatry
NPI 1467075515
3031 W GRAND BLVD STE 600
Detroit, MI 48202
(313) 346-5235
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2221103

Core Psych, PLLC · Dearborn, MI
Active · expires Apr 18, 2027
CLIA Number23D2221103
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorShady S. Shebak
Laboratory Phone(313) 722-4683
Laboratory LocationCore Psych, PLLC3815 Pelham Street Suite 13, Dearborn, MI 48124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Core Psych Livonia, Plc's NPI number?

The NPI number for Core Psych Livonia, Plc is 1194560334. It was assigned to this organization in the NPPES registry on June 28, 2024.

Where is Core Psych Livonia, Plc located?

Core Psych Livonia, Plc is located at 17732 Farmington Rd, Livonia, MI 48152. The listed phone number is (586) 961-6420.

What is Core Psych Livonia, Plc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Core Psych Livonia, Plc enrolled in Medicare?

Yes. Core Psych Livonia, Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Core Psych Livonia, Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Psychiatry, reassign their Medicare billing to Core Psych Livonia, Plc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Core Psych Livonia, Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2221103) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Core Psych Livonia, Plc accept?

Health plans from Blue Care Network of Michigan list Core Psych Livonia, Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Core Psych Livonia, Plc was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.