Michael Shain, DO
Psychiatry & Neurology, Psychiatry in Indianapolis, IN. Individual provider (NPI-1).
NPI number1053051680
StatusActive
Last updated in NPPESSep 22, 2026
Details
- NPI
- 1053051680
- Entity type
- Individual (NPI-1)
- Name
- Michael Shain
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2022
- Certification date
- Sep 22, 2026
- Last updated
- Sep 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 02007576A | IN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 11022435A | IN |
Practice location
8111 S Emerson AveIndianapolis, IN 46237-8601
Phone 317-528-6263 · Fax 317-528-1219
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
Other practice locations
7165 Clearvista Way
Indianapolis, IN 46256-4621
Indianapolis, IN 46256-4621
Phone 317-621-5700
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