Organization Active NPI

Eclectic Health PC

  • Health Service Clinic/Center
  • Rochester Hills, MI
National Provider Identifier
1700522315
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ECLECTIC HEALTH PC
Practice address
811 South Blvd E Ste 110
Rochester Hills, MI 48307-5359
Phone
(248) 561-9337
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Richard Michael Beaubien, DCNPI 1598917676
Title
President
Phone
(248) 561-9337

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

811 South Blvd E Ste 110
Rochester Hills, MI 48307-5359

Mailing address

811 South Blvd E Ste 110
Rochester Hills, MI 48307-5359
Phone (248) 561-9337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220812002560 MI Part B Supplier - Clinic/Group Practice 5991188617 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester Hills, MI

National Provider Directory

National Provider Directory

Locations

811 South Blvd E
Ste 110
Rochester Hills, MI 48307
Phone (248) 561-9337

Practitioners & affiliated clinicians

Practitioners 1

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1700522315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075359",
            "telephone_number": "248-561-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075359",
            "telephone_number": "248-561-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "BEAUBIEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-561-9337",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.