NPIMap

Organization Active NPI

Horizon Psychological Services, PLLC.

  • Clinical Psychologist
  • Portland, MI
National Provider Identifier
1629697461
Registry record updated Apr 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HORIZON PSYCHOLOGICAL SERVICES, PLLC.
Practice address
1447 E Grand River Ave
Portland, MI 48875-1631
Phone
(616) 227-0555
Fax
(517) 647-1100
NPI assigned
Apr 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2020

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

Authorized official

Name
Dr. Hiral R Patel, PSYDNPI 1801150727
Title
Licensed Psychologist
Phone
(404) 483-6494

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1447 E Grand River Ave
Portland, MI 48875-1631

Mailing address

1447 E Grand River Ave
Portland, MI 48875-1631
Phone (616) 227-0555

Other practice location 1

983 Spaulding Ave SE
Ada, MI 49301-3701
Phone (616) 227-0555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586649600000",
    "number": "1629697461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751631",
            "telephone_number": "616-227-0555",
            "fax_number": "517-647-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751631",
            "telephone_number": "616-227-0555",
            "fax_number": "517-647-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 Spaulding Ave SE",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "MI",
            "postal_code": "493013701",
            "country_code": "US",
            "telephone_number": "616-227-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HORIZON PSYCHOLOGICAL SERVICES, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-12",
        "last_updated": "2020-04-12",
        "certification_date": "2020-04-12",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HIRAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-483-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2020; 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.