Organization Active NPI

Hickory Hollow II Specialized Residential Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flint, MI
National Provider Identifier
1902717994
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HICKORY HOLLOW II SPECIALIZED RESIDENTIAL SERVICES
Practice address
6485 Hickory Hollow CT
Flint, MI 48532-2055
Phone
(833) 478-9464
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Christine Bertram
Title
Licensee/Designee
Phone
(833) 478-9464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

6485 Hickory Hollow CT
Flint, MI 48532-2055

Mailing address

3060 S Dye Rd
Flint, MI 48507-1078
Phone (833) 478-9464

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1902717994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 S DYE RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071078",
            "telephone_number": "833-478-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6485 HICKORY HOLLOW CT",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322055",
            "telephone_number": "833-478-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HOLLOW II SPECIALIZED RESIDENTIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "LICENSEE/DESIGNEE",
        "authorized_official_telephone_number": "833-478-9464"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.