Individual provider Active NPI

Suzanne Jeanne Huberty, M.D.

  • Child & Adolescent Psychiatry Physician
  • Portage, MI
National Provider Identifier
1154718237
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
4301502131 Issued in MI
Practice address
7950 Moorsbridge Rd Ste 304
Portage, MI 49024-4420
Phone
(269) 222-2109
Fax
(800) 350-5021
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 4301502131 MI Primary

Addresses

Primary practice location

7950 Moorsbridge Rd Ste 304
Portage, MI 49024-4420

Mailing address

7950 Moorsbridge Rd Ste 304
Portage, MI 49024-4420
Phone (269) 222-2109

Other names 1

  • Suzanne Jeanne McCartney Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727001850 MI Practitioner - Psychiatry 1557651692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Colorado School of Medicine, Denver, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1717 Shaffer St
Kalamazoo, MI 49048-1623

Merit-based Incentive Payment System (MIPS)

Final score
97.1 of 100Reported as group
Quality
85.82
Promoting interoperability
100
Improvement activities
40
Cost
77.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301502131MIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Current Accepting new patients
Promed Healthcare CurrentSince Aug 9, 2020 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 22, 2023 Accepting new patients
Alpenglow Mental Health Child & Adolescent Psychiatry CurrentSince Nov 9, 2025 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 22, 2023 Accepting new patients
Ascension Medical Group Promed CurrentSince Aug 9, 2020 Accepting new patients
Michigan State University Kalamazoo Center for Medical Studies PastSince Jan 8, 2024 Accepting new patients

Locations

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

1717 Shaffer St
Ste 10
Kalamazoo, MI 49048
Phone (269) 337-6200

1717 Shaffer St
Ste 2
Kalamazoo, MI 49048

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7950 Moorsbridge Rd
Ste 305
Portage, MI 49024
Phone (269) 222-2109

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

8001 Angling Rd
Portage, MI 49024
Phone (269) 321-7200

7950 Moorsbridge Rd
Ste 304
Portage, MI 49024
Phone (269) 222-2109

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1154718237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 MOORSBRIDGE RD STE 304",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244420",
            "telephone_number": "269-222-2109",
            "fax_number": "800-350-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MOORSBRIDGE RD STE 304",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244420",
            "telephone_number": "269-222-2109",
            "fax_number": "800-350-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERTY",
        "first_name": "SUZANNE",
        "middle_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "4301502131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "MCCARTNEY",
            "middle_name": "JEANNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.