Individual provider Active NPI

Hugh Urban Armbruster

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1821034638
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801019131 Issued in MI
Practice address
127 N River St
Fenton, MI 48430-3800
Phone
(810) 750-0320
Fax
(810) 767-4060
NPI assigned
Jun 21, 2006
Last updated
Jul 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301002268 MI
Clinical Social Worker 1041C0700X 6801019131 MI Primary

Addresses

Primary practice location

127 N River St
Fenton, MI 48430-3800

Mailing address

127 N River St
Fenton, MI 48430-3800
Phone (810) 750-0320

Other identifiers 7

IdentifierTypeStateIssuer
028363OtherMIVALUE OPTIONS
7509104190OtherMIBCBSM MENTAL HEALTH PIN
5266701OtherMIAETNA BEHAVIORAL HEALTH
0911419OtherMIBCBSM MESSA/MEGELLAN
1063603106OtherMIHEALTH PLUS PIN
130958OtherMICARE CHOICES & PREFERRED
258694OtherMIMHN PIN

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060110000820 MI Practitioner - Clinical Social Worker 9830112465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Flack PSYD PCGroup PAC ID 0547426264, 10 clinicians

Practice addresses (Care Compare)

127 N River St
Fenton, MI 48430-3800
Phone (810) 309-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301002268MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fenton Wellness Psychologist PastSince Dec 9, 2014 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311811200000",
    "number": "1821034638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-750-0320",
            "fax_number": "810-767-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N RIVER ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303800",
            "telephone_number": "810-750-0320",
            "fax_number": "810-767-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUSTER",
        "first_name": "HUGH",
        "middle_name": "URBAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2011-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "028363",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MENTAL HEALTH PIN",
            "identifier": "7509104190",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BEHAVIORAL HEALTH",
            "identifier": "5266701",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM MESSA/MEGELLAN",
            "identifier": "0911419",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PIN",
            "identifier": "1063603106",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES & PREFERRED",
            "identifier": "130958",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN PIN",
            "identifier": "258694",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.