Individual provider Active NPI

Stephanie L. Hillebrand, PSYD, L.P.

  • Clinical Psychologist
  • Howell, MI
National Provider Identifier
1902064751
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301013768 Issued in MI
Practice address
745 S Walnut St
Howell, MI 48843-2579
Phone
(517) 376-3002
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301013768 MI Primary

Addresses

Primary practice location

745 S Walnut St
Howell, MI 48843-2579

Mailing address

745 S Walnut St
Howell, MI 48843-2579
Phone (517) 376-3002

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
I20150915000163 MI Practitioner - Clinical Psychologist 9830406404 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independence Counseling and Psychological Services PCGroup PAC ID 9133539158, 5 clinicians

Practice addresses (Care Compare)

745 S Walnut St
Howell, MI 48843-2579
Phone (517) 376-3002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013768MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Hospital Professional CurrentSince Jul 28, 2015 Accepting new patients
Iha Health Service Corporation CurrentSince Jul 1, 2023 Accepting new patients
St Mary Mercy Hospital Professional Current Accepting new patients
Iha Health Services Corporation CurrentSince Jul 1, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
St Mary Mercy Hospital Crna Current Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Apr 1, 2021 Accepting new patients
Independence Counseling and Psychological Services PC Clinical CurrentSince Jul 16, 2020 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Jan 8, 2019 Accepting new patients
Saint Joseph Mercy Livingston Hospital CurrentSince Jan 8, 2019 Accepting new patients
St Mary Mercy Hospital Professional CurrentSince Jul 28, 2015 Accepting new patients
Comprehensive Psychological Services PC PastSince Aug 5, 2013 Accepting new patients
Comprehensive Psychological Service, PLLC PastSince Dec 9, 2019 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450

809 E Grand River Ave
Ste B
Howell, MI 48843
Phone (517) 376-3002

745 S Walnut St
Howell, MI 48843
Phone (201) 730-2462

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1902064751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S WALNUT ST",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432579",
            "telephone_number": "517-376-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S WALNUT ST",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432579",
            "telephone_number": "517-376-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLEBRAND",
        "first_name": "STEPHANIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSYD, L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.