Organization Active NPI

Kristen Ghersi Hurrell PHD PLLC

  • Adult Mental Health Clinic/Center
  • Bloomfield Hills, MI
National Provider Identifier
1396388518
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KRISTEN GHERSI HURRELL PHD PLLC
Practice address
41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092
Phone
(249) 955-5699
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Kristen Hurrell, PHD
Title
Psychologist-Owner
Phone
(249) 955-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092

Mailing address

41000 Woodward Ave Ste 350
Bloomfield Hills, MI 48304-5092
Phone (248) 709-2313

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1396388518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045092",
            "telephone_number": "248-709-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41000 WOODWARD AVE STE 350",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045092",
            "telephone_number": "249-955-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN GHERSI HURRELL PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "HURRELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST-OWNER",
        "authorized_official_telephone_number": "249-955-5699",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.