Active NPI
Forest Hills Psychiatric PLC
- Psychiatry Physician
- Grand Rapids, MI
National Provider Identifier
1376940122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- FOREST HILLS PSYCHIATRIC PLC
- Practice address
- 1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607 - Phone
- (800) 949-8439
- Fax
- (616) 532-7230
- NPI assigned
- Nov 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Puneet Singla, MD
- Title
- Owner
- Phone
- (616) 942-9610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Mailing address
PO Box 1608
Grand Rapids, MI 49501-1608
Phone (800) 968-6866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0D12824 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474848000000",
"number": "1376940122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495011608",
"telephone_number": "800-968-6866",
"fax_number": "616-532-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 MEDICAL PARK DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463607",
"telephone_number": "800-949-8439",
"fax_number": "616-532-7230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST HILLS PSYCHIATRIC PLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-21",
"last_updated": "2016-09-26",
"status": "A",
"authorized_official_last_name": "SINGLA",
"authorized_official_first_name": "PUNEET",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-942-9610",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0D12824",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.