Organization Active NPI

Mental Health Professionals, PC

  • Psychiatric/Mental Health Nurse Practitioner
  • W Bloomfield, MI
National Provider Identifier
1780868380
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MENTAL HEALTH PROFESSIONALS, PC
Practice address
5600 W Maple Rd
B-206
W Bloomfield, MI 48322-3704
Phone
(248) 626-3333
Fax
(248) 626-3375
NPI assigned
Dec 19, 2007
Last updated
Apr 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Marylinda Hoes, PH.D
Title
Nurse Practitioner
Phone
(248) 626-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5600 W Maple Rd
B-206
W Bloomfield, MI 48322-3704

Mailing address

5600 W Maple Rd
B-206
W Bloomfield, MI 48322-3704
Phone (248) 626-3333

Other identifiers 1

IdentifierTypeStateIssuer
OPI2530MIOtherMIMEDICARE INDIVIDUAL NUMBE

National Provider Directory

National Provider Directory

Locations

5557 Cass Ave
Detroit, MI 48202
Phone (313) 577-2424

32406 Franklin Rd
Unit 250263
Franklin, MI 48025

5600 W Maple Rd
Ste B206
West Bloomfield, MI 48322
Phone (248) 289-1047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1780868380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "B-206",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-626-3333",
            "fax_number": "248-626-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W MAPLE RD",
            "address_2": "B-206",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223704",
            "telephone_number": "248-626-3333",
            "fax_number": "248-626-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "HOES",
        "authorized_official_first_name": "MARYLINDA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "248-626-3333",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NUMBE",
            "identifier": "OPI2530MI",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.