Individual provider Active NPI

Ebony Hall, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1235014226
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704304833 Issued in MI
Practice address
31300 Northwestern Hwy Ste a
Farmington Hills, MI 48334-5407
Phone
(248) 254-3318
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704304833 MI Primary

Addresses

Primary practice location

31300 Northwestern Hwy Ste a
Farmington Hills, MI 48334-5407

Mailing address

24346 Roxana Ave
Eastpointe, MI 48021-4205
Phone (313) 516-7586

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
I20251222003447 MI Practitioner - Nurse Practitioner 1153816665 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

Practice addresses (Care Compare)

2130 Wieneke Rd
Suite 6522
Saginaw, MI 48608-6522

24346 Roxana Ave
Eastpointe, MI 48021-4205

42676 Lilley Pointe Dr
Canton, MI 48187-5330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704304833MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Pathways L.L.C. Psychiatric/Mental Health CurrentSince Dec 16, 2025 Accepting new patients
Peace of Mind, LLC Psychiatric/Mental Health CurrentSince Aug 10, 2025 Accepting new patients

Locations

31300 Northwestern Hwy
Ste A
Farmington Hills, MI 48334
Phone (248) 254-3318

Organizations & group practices 2

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": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1235014226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24346 ROXANA AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480214205",
            "telephone_number": "313-516-7586",
            "fax_number": "201-483-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31300 NORTHWESTERN HWY STE A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345407",
            "telephone_number": "248-254-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "EBONY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704304833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.