LISE A SHIRTZ PH.D.
NPI 1649338534
Psychologist - Clinical in Clinton Township, MI

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
36975 UTICA RD, SUITE 103, CLINTON TOWNSHIP, MI 48036(586) 226-3440(586) 226-3740 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lise A Shirtz Ph.d. NPPES

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

LISE A SHIRTZ PH.D. (NPI 1649338534) is an individual clinical provider in Clinton Township, Michigan, licensed in Michigan (6301011642) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1649338534
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLISE A SHIRTZCredential: PH.D.
Location Address36975 UTICA RD, SUITE 103Clinton Township, MI 48036-1685
Mailing Address36975 Utica Rd, Suite 103Clinton Township, MI 48036-1685 · (586) 226-3440 · Fax (586) 226-3672
Fax(586) 226-3740
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 5, 2006
Last NPPES UpdateNovember 17, 2011
NPI 1649338534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301011642
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

36975 UTICA RD, Clinton Township, MI 48036

Other Identifiers 1

Other450002000Policy #

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lise A Shirtz Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305019639
PECOS Enrollment IDI20111102000667
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, SUITE 100
CLINTON TOWNSHIP, MI 48036
Counselor (Mental Health)
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, STE 103
CLINTON TOWNSHIP, MI 48036
Social Worker (Clinical)
36975 UTICA RD, SUITE 104
CLINTON TOWNSHIP, MI 48036
Counselor (Professional)
36975 UTICA RD
CLINTON TOWNSHIP, MI 48036
Family Medicine
36975 UTICA RD, SUITE 102
CLINTON TOWNSHIP, MI 48036
Dentist (Oral and Maxillofacial Surgery)
36975 UTICA RD, SUITE 106
CLINTON TOWNSHIP, MI 48036

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 Lise Shirtz's NPI number?

The NPI number for Lise Shirtz is 1649338534. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lise Shirtz located?

Lise Shirtz practices at 36975 Utica Rd Suite 103, Clinton Township, MI 48036. The listed phone number is (586) 226-3440.

What is Lise Shirtz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lise Shirtz enrolled in Medicare?

Yes. Lise Shirtz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lise Shirtz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Lise Shirtz 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 Lise Shirtz was last updated on November 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.