Active NPI
PHC of Michigan, LLC
- Psychiatry Physician
- New Baltimore, MI
National Provider Identifier
1396790580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PHC OF MICHIGAN, LLC
- Practice address
- 35031 23 Mile Rd
New Baltimore, MI 48047-3649 - Phone
- (586) 725-5777
- Fax
- (586) 725-3095
- NPI assigned
- May 24, 2006
- Organization subpart
- Yes
- Parent organization
- PHC INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian P Farley
- Title
- Vice President and Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MI | Primary |
Addresses
Primary practice location
35031 23 Mile Rd
New Baltimore, MI 48047-3649
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001571 | Other | MI | PSYCH CARE |
| 5210664 | Medicaid | MI | |
| 115660 | Other | MI | CARE CHOICES |
| A202377 | Other | MI | VALUE OPTIONS |
| A853975 | Other | MI | VALUE OPTIONS OUTPATIENT CLINIC |
| 260E010270 | Other | MI | BCBSM |
| 5210646 | Medicaid | MI |
Other names 1
- Harbor Oaks Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- PHC of Michigan Inc
- Part of
- PHC of Michigan Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- New Baltimore, MI
- NPI 1144381245
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chesterfield, MI
- NPI 1891998894
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Baltimore, MI
- NPI 1881997708
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Roseville, MI
- NPI 1851311021
-
- Psychiatry Physician
- Detroit, MI
- NPI 1497799951
-
- Psychiatry Physician
- Saint Clair Shores, MI
- NPI 1740440122
-
- Psychiatry Physician
- Bloomfield Township, MI
- NPI 1629120282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768867200000",
"number": "1396790580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 ASPEN GROVE DR STE 900",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370673134",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35031 23 MILE RD",
"city": "NEW BALTIMORE",
"state": "MI",
"postal_code": "480473649",
"telephone_number": "586-725-5777",
"fax_number": "586-725-3095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHC OF MICHIGAN, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PHC INC",
"enumeration_date": "2006-05-24",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCH CARE",
"identifier": "001571",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5210664",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES",
"identifier": "115660",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A202377",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS OUTPATIENT CLINIC",
"identifier": "A853975",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "260E010270",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5210646",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harbor Oaks Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Baltimore, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.