Active NPI
Hurley Medical Center
- Psychiatry Physician
- Flint, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 250040
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B57747 | Other | MI | BLUE SHIELD |
| 750910736 | Other | MI | BS OPC |
Other names 1
- Hurley Clinical Psychiartists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 3
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.
-
- Clinical Psychologist
- Flint, MI
- NPI 1467678789
O20031212000376, O20040806000206
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Hurley Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 1966 |
| Hurley Medical Center | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1994 |
| Hurley Medical Center | 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.
-
- Psychiatric Hospital Unit
- Flint, MI
- NPI 1114021292
5% Or Greater Direct Ownership Interest
-
- General Acute Care Hospital
- Flint, MI
- NPI 1598717480
5% Or Greater Direct Ownership Interest
-
- Rehabilitation Hospital Unit
- Flint, MI
- NPI 1851496210
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 38
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Child & Adolescent Psychologist
- Flint, MI
- NPI 1699802660
-
- Psychologist
- Flint, MI
- NPI 1922153980
-
- Clinical Psychologist
- Flint, MI
- NPI 1831387257
-
- Clinical Psychologist
- Grosse Pointe, MI
- NPI 1417511395
-
- Clinical Psychologist
- Flint, MI
- NPI 1215267257
-
- Clinical Psychologist
- Flint, MI
- NPI 1982655239
-
- Clinical Psychologist
- Burton, MI
- NPI 1538250675
-
- Psychiatric/Mental Health Nurse Practitioner
- Flint, MI
- NPI 1073474011
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Flint, MI
- NPI 1679609002
-
- Professional Counselor
- Flint, MI
- NPI 1568048320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.