CORE PSYCH PLLC
NPI 1871069039
Psychiatry & Neurology - Psychiatry in Dearborn, MI
About Core Psych Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORE PSYCH PLLC (NPI 1871069039) is a healthcare organization registered as a psychiatry in Dearborn, Michigan and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Livonia, and lists Shady Shebak, Psychiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 13
Secondary Practice Location 1
Group Practice 1
Accepted 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 Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Core Psych PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 23D2321022
Core Psych Livonia, Plc · Livonia, MIFrequently 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 PLLC's NPI number?
The NPI number for Core Psych PLLC is 1871069039. It was assigned to this organization in the NPPES registry on October 15, 2018.
Where is Core Psych PLLC located?
Core Psych PLLC is located at 3815 Pelham St, Dearborn, MI 48124. The listed phone number is (313) 429-0470.
What is Core Psych PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Core Psych PLLC enrolled in Medicare?
Yes. Core Psych PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Core Psych PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Core Psych PLLC. 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. The largest specialties are Nurse Practitioner (7), Clinical Social Worker (1) and Psychiatry (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Core Psych PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2321022) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Core Psych PLLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Core Psych PLLC 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 PLLC was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Core Psych Pllc · NPI 1871069039
Psychiatry organization in Dearborn, Michigan. Organization record, active in the CMS NPPES registry since October 15, 2018.
## Identity
- **NPI:** 1871069039 (Entity type: Organization)
- **Enumerated:** October 15, 2018
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Shady Shebak, PSYCHIATRIST
## Practice location
- **Address:** 3815 PELHAM ST, Dearborn, MI 48124-3852
- **Phone:** (313) 429-0470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Clinical Social Worker (1), Psychiatry (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871069039) · Data from the CMS NPPES public registry.