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MR. PAUL GERARD SHANKIN JR. CCAR
NPI 1467123497
Peer Specialist in Madison Heights, MI

Active since September 21, 2021
28303 DEQUINDRE RD, MADISON HEIGHTS, MI 48071(248) 658-1116(248) 658-1120 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Paul Gerard Shankin Jr. Ccar NPPES

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

MR. PAUL GERARD SHANKIN JR. CCAR (NPI 1467123497) is an individual peer specialist in Madison Heights, Michigan and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1467123497
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. PAUL GERARD SHANKIN JR.Credential: CCAR
Location Address28303 DEQUINDRE RDMadison Heights, MI 48071-3040
Mailing Address28303 Dequindre RdMadison Heights, MI 48071-3040 · (248) 658-1116 · Fax (248) 658-1120
Phone(248) 658-1116
Fax(248) 658-1120
Sole ProprietorYes
Enumeration DateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1467123497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
28303 DEQUINDRE RD, Madison Heights, MI 48071
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Other Providers at the Same Location NPPES 17

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

CORRIE PRY
Counselor (Addiction (Substance Use Disorder))
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
JELINDA ALYACOUB LPN
Licensed Practical Nurse
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
LAURA JEAN PROTIC
Peer Specialist
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (810) 392-2167
JONATHON MITCHELL MAXGAY
Peer Specialist
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (810) 392-2167
DR. KEHINDE AWOFALA DDS
Dentist (General Practice)
28303 DEQUINDRE RD, STE 130
MADISON HEIGHTS, MI 48071
Oakland County (248) 545-7288
NICOLE LAURA NEADA LPN
Licensed Practical Nurse
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116
MS. GINETTA MARIE HARDY LLPC
Counselor (Professional)
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 543-0033
MARY ANN SHAMON LLMSW
Social Worker (Clinical)
28303 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Oakland County (248) 658-1116

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 Paul Shankin's NPI number?

The NPI number for Paul Shankin is 1467123497. It was assigned to this individual provider in the NPPES registry on September 21, 2021.

Where is Paul Shankin located?

Paul Shankin practices at 28303 Dequindre Rd, Madison Heights, MI 48071. The listed phone number is (248) 658-1116.

What is Paul Shankin's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Paul Shankin was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.