SUSAN GREENSHIELDS (PH.D.) – Clinical Psychologist, NPI 1821077082

SUSAN GREENSHIELDS (PH.D.) is a healthcare provider. based in Dearborn, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301007742 (MI). The NPI Number for SUSAN GREENSHIELDS (PH.D.) is 1821077082

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN GREENSHIELDS (PH.D.)
NPI
1821077082
Phone
(313) 359-3676
Address
19855 OUTER DR
Enumeration Date
15 January 2006
Last Update Date
31 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133593676
Graduation Year
1992 (34 years ago)
PAC ID
8921288697
Professional Enrollment ID
I20110211001008
Address ID
MI481242022DE19855DRXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for SUSAN GREENSHIELDS (PH.D.)

  • Outer Drive, Center Township, Dearborn County, Indiana, 47001, United States

    SUITE 103A

    DEARBORN, MI 481242022

    Phone: (313) 359-3676

    Mailing address matches the actual address.

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: 2011-02-11

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
I20110211001008IClinical 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 48124)

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Reviews

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Frequently asked questions

Does SUSAN GREENSHIELDS (PH.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSAN GREENSHIELDS (PH.D.) uses 1821077082.
Does CMS list SUSAN GREENSHIELDS (PH.D.) as active?
Yes — SUSAN GREENSHIELDS (PH.D.) is active in the NPI listing used on this page.
What taxonomy line describes SUSAN GREENSHIELDS (PH.D.)?
For research purposes, treat SUSAN GREENSHIELDS (PH.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What area does SUSAN GREENSHIELDS (PH.D.) serve?
SUSAN GREENSHIELDS (PH.D.)'s listing highlights Dearborn, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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