Individual provider Active NPI

Cortney Thomas, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Clair, MI
National Provider Identifier
1144056896
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704352899 Issued in MI
Practice address
4241 Blue River Dr
Saint Clair, MI 48079-3502
Phone
(315) 489-5056
NPI assigned
Sep 10, 2024
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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 4704352899 MI Primary
Registered Nurse 163W00000X 4704352899 MI

Addresses

Primary practice location

4241 Blue River Dr
Saint Clair, MI 48079-3502

Mailing address

4241 Blue River Dr
Saint Clair, MI 48079-3502
Phone (315) 489-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260130002761 MI Practitioner - Nurse Practitioner 7810475886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cambridge Psychiatry and Behavioral Institute PLLCGroup PAC ID 0547751059, 3 clinicians

Practice addresses (Care Compare)

3611 Carpenter St
Suite 7
Hamtramck, MI 48212-2784
Phone (313) 733-8286

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704352899MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Psychiatry & Behavioral Institute PLLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

3611 Carpenter St
Ste 7
Hamtramck, MI 48212
Phone (313) 349-5851

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1144056896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 BLUE RIVER DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793502",
            "telephone_number": "315-489-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 BLUE RIVER DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793502",
            "telephone_number": "315-489-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CORTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704352899",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704352899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MI

Sources for this page

Verify at the official NPI Registry.