Rural Hub Psychiatry Services Management Company LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RURAL HUB PSYCHIATRY SERVICES MANAGEMENT COMPANY LLC

Practice address

104 W Exchange St
Owosso, MI 48867-2816

Phone

(989) 675-7910

Fax

(989) 256-0767

NPI assigned

Mar 27, 2024

Last updated

Mar 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenna Rennells, PMHNP-BC, FNP-BCNPI 1740661503

Title

Authorized Official

Phone

(989) 675-7910

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Rennells, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owosso, MI
  • NPI 1740661503

  Single Specialty

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1023868338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8078 HOLLISTER RD",
            "city": "LAINGSBURG",
            "state": "MI",
            "postal_code": "488489230",
            "telephone_number": "989-675-7910",
            "fax_number": "989-256-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W EXCHANGE ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672816",
            "telephone_number": "989-675-7910",
            "fax_number": "989-256-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HUB PSYCHIATRY SERVICES MANAGEMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "RENNELLS",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "989-675-7910",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Rowell
• Stephanie Rowell, LLMSW
• Amie Ruby
• Maxwell Reid Ruegsegger, DP-C
• Lyndsay Jo Ruff, RD
• Morgan M Russ, LLMSW
• Ruth Jandik Enterprises LLC
• Gregory M Ryan
• Terrence Wayne Ryckman, DDS
• Hanna Alexsis Sabou

• Mental Health Clinic/Center (Including Community Mental Health Center) in Owosso, MI
• Providers in Owosso, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.