Individual provider Active NPI

James Randolph Hillard, MD

  • Psychiatry Physician
  • Mt Pleasant, MI
National Provider Identifier
1700966785
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301041240 Issued in MI
Practice address
202 Foust Hall
Mt Pleasant, MI 48859-1037
Phone
(989) 774-6599
Fax
(989) 774-4335
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 50439 OH
Psychiatry Physician 2084P0800X 4301041240 MI Primary

Addresses

Primary practice location

202 Foust Hall
Mt Pleasant, MI 48859-1037

Mailing address

202 Foust Hall
Mt Pleasant, MI 48859-0001
Phone (989) 774-6599

Other practice location 1

1 East Circle Drive
East Lansing, MI 48824-1037
Phone (517) 884-6546

Other identifiers 1

IdentifierTypeStateIssuer
1700966785MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080126000068 MI Practitioner - Psychiatry 1850365453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

2350 Green Rd
Suite 150 160
Ann Arbor, MI 48105-1599
Phone (734) 285-8282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301041240MIMDPsychiatry Physician
50439OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince Sep 11, 2022 Accepting new patients
St Joseph Mercy Hospital Current Accepting new patients
Downriver Mental Health Clinic PC CurrentSince Sep 11, 2022 Accepting new patients
St Joseph Mercy Hospital CurrentSince Aug 3, 2021 Accepting new patients
St Joseph Mercy Hospital Psychiatry CurrentSince Aug 3, 2021 Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients
Michigan State University Psychiatry Past Accepting new patients
Michigan State University Past Accepting new patients
Michigan State University Dept of Psychiatry Psychiatry Past Accepting new patients
West Chester Hospital LLC Past Accepting new patients

Locations

2350 Green Rd
Ste 160
Ann Arbor, MI 48105
Phone (315) 771-4657

2350 Green Rd
Ste 150160
Ann Arbor, MI 48105
Phone (734) 285-8282

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

3475 Belle Chase Way
Lansing, MI 48911
Phone (517) 744-7389

20555 Victor Pkwy
Livonia, MI 48152
Phone (734) 343-3925

20500 Eureka Rd
Ste 200
Taylor, MI 48180
Phone (734) 285-8282

5361 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-1300

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.james.hillard@150339.advancedmd-direct.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1700966785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6599",
            "fax_number": "989-774-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488591037",
            "telephone_number": "989-774-6599",
            "fax_number": "989-774-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 East Circle Drive",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488241037",
            "country_code": "US",
            "telephone_number": "517-884-6546",
            "fax_number": "517-432-9460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "JAMES",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "50439",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301041240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700966785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.