Organization Active NPI

The High Vibration Station, PLLC

  • Preferred Provider Organization
  • Saint Clair Shores, MI
National Provider Identifier
1063971430
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
THE HIGH VIBRATION STATION, PLLC
Practice address
22930 E 9 Mile Rd Ste B
Saint Clair Shores, MI 48080-1985
Phone
(810) 328-3461
Fax
(810) 746-0114
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Mrs. Erin Louise Castile, LMSW, CAADC, RYTNPI 1285041442
Title
Clinical Therapist/Owner
Phone
(810) 328-3461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

22930 E 9 Mile Rd Ste B
Saint Clair Shores, MI 48080-1985

Mailing address

1807 Anita Ave
Grosse Pointe Woods, MI 48236-1439
Phone (810) 328-3461

Other practice location 1

16824 Kercheval Pl Ste 206
Grosse Pointe Park, MI 48230-1566
Phone (810) 328-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200909001653 MI Part B Supplier - Clinic/Group Practice 8820416738 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe Woods, MI

National Provider Directory

National Provider Directory

Locations

22930 E 9 Mile Rd
Ste B
Saint Clair Shores, MI 48080
Phone (313) 355-2320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1063971430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ANITA AVE",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361439",
            "telephone_number": "810-328-3461",
            "fax_number": "810-746-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22930 E 9 MILE RD STE B",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801985",
            "telephone_number": "810-328-3461",
            "fax_number": "810-746-0114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16824 Kercheval Pl Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "482301566",
            "country_code": "US",
            "telephone_number": "810-328-3461",
            "fax_number": "810-746-0114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE HIGH VIBRATION STATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "CASTILE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "CLINICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "810-328-3461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW, CAADC, RYT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.