NPIMap

Organization Active NPI

Hyacinth Clinical Services and Consulting PLLC

  • Clinic/Center
  • Mt Pleasant, MI
National Provider Identifier
1437898707
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HYACINTH CLINICAL SERVICES AND CONSULTING PLLC
Practice address
3724 W Wing Rd
Mount Pleasant, MI 48858-9584
Phone
(989) 408-7587
NPI assigned
Jun 3, 2022
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Erin SmithNPI 1831489541
Title
Owner
Phone
(989) 408-7587

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3724 W Wing Rd
Mount Pleasant, MI 48858-9584

Mailing address

3724 W Wing Rd
Mount Pleasant, MI 48858-9584
Phone (989) 408-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220728001644 MI Part B Supplier - Clinic/Group Practice 7416339080 Receives reassigned benefits from 13 practitioners
Practice locations: Midland, MI; Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

1912 S Saginaw Rd
Midland, MI 48640
Phone (989) 408-7587

4912 Mac St
Midland, MI 48640
Phone (989) 317-4640

214 S Washington St
Mount Pleasant, MI 48858
Phone (917) 725-4126

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1437898707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 W WING RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589584",
            "telephone_number": "989-408-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 W WING RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488589584",
            "telephone_number": "989-408-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYACINTH CLINICAL SERVICES AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-408-7587"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.

Verify at the official NPI Registry.