DR. SHANTI RENEE MITCHELL


Address: 39450 W 12 Mile Rd, Novi, MI 48377-3600
Phone: 2486617393

DR. SHANTI RENEE MITCHELL (NPI# 1467715110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467715110
Entity Type Individual
Full Name DR. SHANTI RENEE MITCHELL
Credential M.D.
Practice Address 39450 W 12 Mile Rd
Novi
MI 48377-3600
Practice Telephone 2486617393
Mailing Telephone 2486617393
Enumeration Date 2012-06-18
Last Update Date 2018-05-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
4301101308 MI Allopathic & Osteopathic Physicians
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
4301101308 MI Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1500 E Medical Center Dr, Mchc, F6135, Ann Arbor, MI 481095000 7347646875

Office Location

Street Address 39450 W 12 MILE RD
City NOVI
State MI
Zip Code 48377-3600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801994512 Heather Heilman Social Worker 39450 W 12 Mile Rd, Novi, MI 48377-3600 2006-09-20
1750926846 Bryce Alexander Groshek Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2019-11-12
1962975268 Kelly Nohl Dietitian, Registered 39450 W 12 Mile Rd, Novi, MI 48377-3600 2019-01-09
1285121376 Michele A Zubalik Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-04-16
1295230944 Rebecca Lynn Knodel Occupational Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-03-26
1275036709 David Tomsich Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-03-12
1760985170 Ashley Nebel Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-03-12
1750883104 Melissa Joy Simon Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-03-01
1891297404 Michelle Louise Thibodeau Physical Therapist 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-02-28
1609384569 Alexandrina Berghian Nurse Practitioner 39450 W 12 Mile Rd, Novi, MI 48377-3600 2018-01-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679075758 Andrea Campbell Nurse Practitioner 44000 W 12 Mile Rd Ste 113, Novi, MI 48377 2018-03-05
1811421928 Michigan Eye and Contact Lens Pllc Optometrist 42081 14 Mile Road, Novi, MI 48377 2017-04-14
1336695691 Deanna Lynne Klein Speech-Language Pathologist 44140 Fox Run Road, Novi, MI 48377 2016-08-28
1871940973 Jaime Durante Nurse Practitioner 44070 W. 12 Mile Rd, Suite 100, Novi, MI 48377 2016-05-18
1508225624 Trilogy Healthcare of Oakland II, LLC Skilled Nursing Facility 41795 W 12 Mile Road, Novi, MI 48377 2016-02-17
1144688854 Hussein Azzam Allergy & Immunology 46325 W 12 Mile Rd Ste 215, Novi, MI 48377 2016-02-09
1598120164 Nova Counseling Services Inc. Counselor 41650 Clemens Circle, Novi, MI 48377 2015-12-23
1891174587 Reem Mariam Mansour Occupational Therapist 44125 West 12 Mile Rd E-123, Novi, MI 48377 2015-05-27
1154747095 Ali Hassan Ismail Dentist 41920 Wolfe Pass, Novi, MI 48377 2014-03-17
1558703876 Twelve Oaks Orthodontics Pllc Dentist 44110 W 12 Mile Rd, Suite 100, Novi, MI 48377 2013-07-29
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295056653 Veronica Yap Tan Psychiatry & Neurology 23354 Portage Way, Apt. 2212, Novi, MI 48375 2010-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316376056 Esmaeil Emami Psychiatry & Neurology 2955 Franklin Rd, Bloomfield Hills, MI 48302-0917 2013-11-04
1154760312 Samantha Fugate Kennedy Psychiatry & Neurology 909 Fee Rd Ste B119, East Lansing, MI 48824 2013-06-21
1407199961 David Donald Krohn Psychiatry & Neurology 563 Highland Park Dr, Traverse City, MI 49686-2863 2013-04-03
1164712055 Tatjana Maric Psychiatry & Neurology 420 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 2011-04-12
1972893824 Katherine Barbara Krive Psychiatry & Neurology 801 S Waverly Rd Ste 100, Lansing, MI 48917-4200 2011-04-12
1104128602 Hope Network Behavioral Health Services Psychiatry & Neurology 3361 36th Street, Grand Rapids, MI 49512 2010-12-03
1548588874 Katie Alanna Keller Psychiatry & Neurology 79 Alexandrine West, Detroit, MI 48201 2010-05-11
1538390133 Behavioral Health Associates Pllc Psychiatry & Neurology 19500 Middlebelt Rd, Suite 350e, Livonia, MI 48152-2196 2009-07-30
1235375775 Kristine Baker Psychiatry & Neurology 721 Cherokee St, Traverse City, MI 49684-1401 2009-01-06
1689820078 Margaret Mary Casey Psychiatry & Neurology 1326 Saint Antoine St, Detroit, MI 48226-2301 2008-08-18
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Competitor

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City NOVI
Zip Code 48377

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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