Individual provider Active NPI

Phyllis A. Tunis, MSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1194897629
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033364 Issued in MI
Practice address
1085 S Linden Rd Ste 150
Flint, MI 48532-3430
Phone
(810) 262-2100
Fax
(810) 230-3376
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801033364 MI Primary

Addresses

Primary practice location

1085 S Linden Rd Ste 150
Flint, MI 48532-3430

Mailing address

1 Hurley PLZ
5TH Floor S.O.N.
Flint, MI 48503-5902
Phone (810) 762-7038

Other practice location 1

G-1125 S. Linden Road
Suite #210
Flint, MI 48532
Phone (810) 230-3370

Other identifiers 1

IdentifierTypeStateIssuer
750910736OtherMIBLUE SHIELD OPC

Other names 1

  • Phyllis A Smith-Tunis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ptunis1852@direct.hurleymc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1194897629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "5TH FLOOR S.O.N.",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-762-7038",
            "fax_number": "810-760-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323430",
            "telephone_number": "810-262-2100",
            "fax_number": "810-230-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G-1125 S. Linden Road",
            "address_2": "Suite #210",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "48532",
            "country_code": "US",
            "telephone_number": "810-230-3370",
            "fax_number": "810-230-3376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUNIS",
        "first_name": "PHYLLIS",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OPC",
            "identifier": "750910736",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ptunis1852@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1085 S Linden Rd Ste 150",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485323430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "SMITH-TUNIS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.