Provider Demographics
NPI:1396624474
Name:CARTHANE, SHAMIKA E
Entity type:Individual
Prefix:
First Name:SHAMIKA
Middle Name:E
Last Name:CARTHANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 E ALPHA PKWY
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-2706
Mailing Address - Country:US
Mailing Address - Phone:248-275-6866
Mailing Address - Fax:
Practice Address - Street 1:757 E ALPHA PKWY
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:MI
Practice Address - Zip Code:48328-2706
Practice Address - Country:US
Practice Address - Phone:248-275-6866
Practice Address - Fax:248-275-6866
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician