Huron River Psychiatry PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

HURON RIVER PSYCHIATRY PC

Practice address

3200 W Liberty Rd Ste F
Ann Arbor, MI 48103-9180

Phone

(734) 780-7080

Fax

(734) 545-8663

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Rachelle Williams

Title

Authorized Official

Phone

(734) 245-7822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Giovanni Peter Parochetti, PMHNP -BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Blanc, MI
  • NPI 1588438568
  Medicare reassignment Care Compare group NPD
• Robert Zenas, PA-C

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1700475779
  Medicare reassignment Care Compare group
• Marisa Zenas

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1447893912
  Medicare reassignment
• Monique Martin

  • Physician Assistant
  • Ann Arbor, MI
  • NPI 1174441539
  NPD (past)

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1679393797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F1",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039746",
            "telephone_number": "734-780-7080",
            "fax_number": "734-545-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W LIBERTY RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039180",
            "telephone_number": "734-780-7080",
            "fax_number": "734-545-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURON RIVER PSYCHIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "734-245-7822"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Hunwick, LCSW
• Hasina Huq, PTA
• Noelle Hurd, M.A.
• Huron Dental Center
• Huron River Counseling LLC
• Huron Valley Ambulance Inc
• Huron Valley Ambulance Inc
• Huron Valley Consultation Center Inc
• Huron Valley Physician Association, P.C.
• Kathryn Michelle Hurren, PHARM.D.

• Physician Assistant in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.