Individual provider Active NPI

Patricia Frances Yourchock Orr, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westland, MI
National Provider Identifier
1124054408
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704114622 Issued in MI
Practice address
2505 S Wayne Rd
Westland, MI 48186-5431
Phone
(734) 444-5554
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1118 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704114622 MI Primary

Addresses

Primary practice location

2505 S Wayne Rd
Westland, MI 48186-5431

Mailing address

31904 Hennepin St
Garden City, MI 48135-1450
Phone (734) 444-5554

Other practice location 1

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone (602) 808-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704114622MIMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: patricia.yourchockorrnp.p1@direct.lifewell.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1124054408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31904 HENNEPIN ST",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351450",
            "telephone_number": "734-444-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865431",
            "telephone_number": "734-444-5554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Earll Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850122647",
            "country_code": "US",
            "telephone_number": "602-808-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOURCHOCK ORR",
        "first_name": "PATRICIA",
        "middle_name": "FRANCES",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1118",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704114622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.