Individual provider Active NPI

Theresa Lynne Harpold, MD

  • Psychiatry Physician
  • Center Line, MI
National Provider Identifier
1639160336
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
205023 Issued in MA
Practice address
6900 E 10 Mile Rd
Center Line, MI 48015-1168
Phone
(586) 501-3070
Fax
(248) 386-5176
NPI assigned
Nov 2, 2005
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 205023 MA Primary

Addresses

Primary practice location

6900 E 10 Mile Rd
Center Line, MI 48015-1168

Mailing address

4065 E Hills CT SE
Grand Rapids, MI 49546-6299
Phone (616) 942-2081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080501000117 MA Practitioner - Psychiatry 8426137589 Reassigns benefits to 1 organization
I20230822003271 MI Practitioner - Psychiatry 8426137589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Virginia Commonwealth University, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Easterseals Morc Health Care, IncGroup PAC ID 9830141670, 129 clinicians

Practice addresses (Care Compare)

4065 E Hills CT SE
Grand Rapids, MI 49546-6249
Phone (616) 942-2081

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
205023MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jan 26, 2015 Accepting new patients
Newaygo County Mental Health Board Psychiatry CurrentSince Jul 11, 2023 Accepting new patients
Easterseals Morc Health Care, Inc. Psychiatry CurrentSince Oct 3, 2024 Accepting new patients
Newaygo County Mental Health Board Psychiatry CurrentSince Jul 11, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Jan 26, 2015 Accepting new patients
County of Macomb CurrentSince Oct 7, 2024 Accepting new patients
County of Macomb CurrentSince Oct 7, 2024 Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

6900 E 10 Mile Rd
Center Line, MI 48015
Phone (586) 501-3070

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 469-5794

4065 E Hills Ct SE
Grand Rapids, MI 49546
Phone (616) 942-2081

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

1049 E Newell St
White Cloud, MI 49349
Phone (231) 689-7300

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1639160336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 E HILLS CT SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466299",
            "telephone_number": "616-942-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 E 10 MILE RD",
            "city": "CENTER LINE",
            "state": "MI",
            "postal_code": "480151168",
            "telephone_number": "586-501-3070",
            "fax_number": "248-386-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPOLD",
        "first_name": "THERESA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "205023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Line, MI

Sources for this page

Verify at the official NPI Registry.