Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Shield Medical Group, PC

Organization Addiction (Substance Use Disorder) Psychologist · NPI 1649709502

Shining Shield Medical Group, PC is an Addiction (Substance Use Disorder) Psychologist in Marne, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15140 16th Ave
Marne, MI 49435-9605
Phone: (269) 704-7563
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X

Record details

NPI number1649709502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Janas — President · (269) 589-1056
NPI enumeratedJune 5, 2017
Last updated in NPPESJune 5, 2017
Mailing address207 Capital Ave Ne, Battle Creek, MI 49017-3926