Individual provider Active NPI

Linda D. Marion, M.D.

  • Psychiatry Physician
  • Flint, MI
National Provider Identifier
1770620528
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301063227 Issued in MI
Practice address
422 W 4TH Ave
Flint, MI 48503-2404
Phone
(810) 496-5783
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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 063227 MI
Psychiatry Physician 2084P0800X 4301063227 MI Primary

Addresses

Primary practice location

422 W 4TH Ave
Flint, MI 48503-2404

Mailing address

1157 Warrington Dr
Ann Arbor, MI 48103-2367
Phone (734) 995-9714

Other identifiers 3

IdentifierTypeStateIssuer
1770620528MedicaidMI
4128391MedicaidMI
260C876120OtherMIBLUE CROSS BLUE SHIELD

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
I20070131000015 MI Practitioner - Psychiatry 7012918261 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
063227MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management Current Accepting new patients
State of Michigan Office of Financial Management CurrentSince Feb 17, 2018 Accepting new patients
State of Michigan Office of Financial Management Current Accepting new patients
Mhsdd, PC Psychiatry CurrentSince Jan 1, 2007 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Jan 6, 2019 Accepting new patients
State of Michigan Office of Financial Management CurrentSince Feb 17, 2018 Accepting new patients
Seniors Wellness Group of Michigan, P.C. Past Accepting new patients

Locations

2040 Chambers Rd
Caro, MI 48723
Phone (989) 672-9338

8303 Platt Rd
Saline, MI 48176
Phone (734) 295-4223

33000 Annapolis St
Ste 150
Wayne, MI 48184
Phone (734) 728-3446

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1770620528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 WARRINGTON DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032367",
            "telephone_number": "734-995-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W 4TH AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032404",
            "telephone_number": "810-496-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "LINDA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "063227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301063227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770620528",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4128391",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "260C876120",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.