JUDITH STEIN SHAZER (PH.D.) – Clinical Psychologist, NPI 1093049652

JUDITH STEIN SHAZER (PH.D.) is a healthcare provider. based in Saline, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301006479 (MI). The NPI Number for JUDITH STEIN SHAZER (PH.D.) is 1093049652

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
JUDITH STEIN SHAZER (PH.D.)
NPI
1093049652
Phone
(734) 295-4511
Address
8303 PLATT RD
Enumeration Date
29 September 2009
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7346606624
Graduation Year
1986 (40 years ago)
PAC ID
2163744384
Professional Enrollment ID
I20141125001035
Address ID
MI481089573AN3599XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for JUDITH STEIN SHAZER (PH.D.)

  • 8303 PLATT RD

    SALINE, MI 481769773

    Phone: (734) 295-4511

    Fax: (734) 429-3734

    Type: Mailing

  • 2232 S MAIN ST STE 242

    ANN ARBOR, MI 481036938

    Phone: (734) 660-6624

    Type: Mailing

  • 3599 BARRY KNOLL DR

    ANN ARBOR, MI 481089573

    Phone: (734) 660-6624

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141125001035IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48176)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for JUDITH STEIN SHAZER (PH.D.)?
JUDITH STEIN SHAZER (PH.D.) — NPI 1093049652 — is the standard way to identify this listing.
Can I rely on JUDITH STEIN SHAZER (PH.D.) being an active provider?
As of the registry snapshot, JUDITH STEIN SHAZER (PH.D.) is marked active.
What is JUDITH STEIN SHAZER (PH.D.)'s primary classification?
Clinical Psychologist is the headline specialty for JUDITH STEIN SHAZER (PH.D.) here. Clinical services aligned with this taxonomy classification.
Does JUDITH STEIN SHAZER (PH.D.) list a practice location?
Patients near Saline, Michigan may find JUDITH STEIN SHAZER (PH.D.) in results; validate coverage separately.
Is the information about JUDITH STEIN SHAZER (PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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