Hiral R Patel

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301018316 Issued in MI

Practice address

1447 E Grand River Ave
Portland, MI 48875-1631

Phone

(616) 227-0555

Fax

(517) 647-1100

NPI assigned

Jun 25, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Horizon Psychological Services, PLLC.

  • Clinical Psychologist
  • Portland, MI
  • NPI 1629697461
  NPD Authorized official
• Health Source Physical Therapy Center, Inc.

  • Physical Therapy Clinic/Center
  • Portland, MI
  • NPI 1083624969
  NPD (past)

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1801150727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751631",
            "telephone_number": "616-227-0555",
            "fax_number": "517-647-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 E GRAND RIVER AVE",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751631",
            "telephone_number": "616-227-0555",
            "fax_number": "517-647-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 Spaulding Ave SE",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "MI",
            "postal_code": "493013701",
            "country_code": "US",
            "telephone_number": "616-227-0555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "HIRAL",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-25",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Mauren, DDS, PLLC
• Michigan Sleep Solutions LLC
• Roger Duane Miller, DDS
• Ohana Medical Group PLLC
• Charlene Ann Pahl, LMSW ACSW
• Prachi Patel, RPH
• Molly Kathryn Puglessi
• Randall J Riemer, OD, PLC
• Stephanie Marie Ratliff-Putney, LMT
• Randall John Riemer, O.D.

• Clinical Psychologist in Portland, MI
• Providers in Portland, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.