Organization Active NPI

Hurley Medical Center

  • Psychiatry Physician
  • Flint, MI
National Provider Identifier
1457387201
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
250040 Issued in MI
Legal business name
HURLEY MEDICAL CENTER
Practice address
1085 S Linden Rd Ste 150
Flint, MI 48532-3430
Phone
(810) 262-2100
NPI assigned
Jun 23, 2006
Organization subpart
Yes
Parent organization
HURLEY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Kimberly Ecker
Title
Director of Professional Billing
Phone
(810) 262-6378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 250040 MI Primary

Addresses

Primary practice location

1085 S Linden Rd Ste 150
Flint, MI 48532-3430

Mailing address

1 Hurley PLZ
Attn Professional Billing
Flint, MI 48503-5902
Phone (810) 262-9255

Other identifiers 2

IdentifierTypeStateIssuer
0B57747OtherMIBLUE SHIELD
750910736OtherMIBS OPC

Other names 1

  • Hurley Clinical Psychiartists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031208000375 MI Part B Supplier - Clinic/Group Practice 2961308481 Receives reassigned benefits from 584 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI; Grand Blanc, MI; Lapeer, MI; Fenton, MI; Durand, MI; Burton, MI
O20031212000376 MI Part B Supplier - Clinic/Group Practice 2961308481 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Flint, MI
O20040806000206 MI Part B Supplier - Clinic/Group Practice 2961308481 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Flint, MI

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory
Part of
Hurley Clinical Psychia

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hurley Medical CenterFlint, MI, CCN 230132 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Hurley Medical CenterFlint, MI, CCN 23T132 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1994
Hurley Medical CenterFlint, MI, CCN 23S132 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 29, 2010

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1457387201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "address_2": "ATTN PROFESSIONAL BILLING",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-9255",
            "fax_number": "810-262-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD STE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323430",
            "telephone_number": "810-262-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURLEY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HURLEY MEDICAL CENTER",
        "enumeration_date": "2006-06-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "ECKER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF PROFESSIONAL BILLING",
        "authorized_official_telephone_number": "810-262-6378"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "250040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0B57747",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OPC",
            "identifier": "750910736",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurley Clinical Psychiartists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hurley Clinical Psychiartists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.