Individual provider Active NPI

Spencer Thornock, MD

  • Psychiatry Physician
  • Alma, MI
National Provider Identifier
1912499757
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301507600 Issued in MI
Practice address
120 E Warwick Dr
Alma, MI 48801-1010
Phone
(989) 463-2779
Fax
(989) 463-2064
NPI assigned
Jun 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301115437 MI
Psychiatry Physician 2084P0800X 4301507600 MI Primary

Addresses

Primary practice location

120 E Warwick Dr
Alma, MI 48801-1010

Mailing address

946 W Midland Rd
Auburn, MI 48611-9400
Phone (989) 266-3188

Other practice location 1

1621 E Broomfield St Ste A
MT Pleasant, MI 48858-5427
Phone (989) 463-2779 ext. 203

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622002589 MI Practitioner - Psychiatry 5294081410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Central Michigan College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Psychiatric and Counseling Center, PCGroup PAC ID 1153228721, 10 clinicians

Practice addresses (Care Compare)

120 E Warwick Dr
Alma, MI 48801-1010
Phone (989) 463-2779

4309 Jennifer LN
Mt Pleasant, MI 48858-3057
Phone (989) 400-4588

Hospital & facility affiliations

  • Mymichigan Medical Center Alma Hospital, Alma, MI, CCN 230030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Transitions LLC CurrentSince Sep 23, 2024 Accepting new patients
Family Health Psychiatric & Counseling Center, PC CurrentSince Sep 16, 2024 Accepting new patients
Serenity Bay Health PLLC PastSince Jun 1, 2022 Accepting new patients

Locations

120 E Warwick Dr
Alma, MI 48801
Phone (989) 463-2779

1621 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (989) 400-4588

Interoperability endpoints

  • Direct secure messaging: spencer.thornock.1@24246.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24246/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1912499757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119400",
            "telephone_number": "989-266-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E WARWICK DR",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011010",
            "telephone_number": "989-463-2779",
            "fax_number": "989-463-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 E Broomfield St Ste A",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488585427",
            "country_code": "US",
            "telephone_number": "989-463-2779 x203",
            "fax_number": "989-463-2064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNOCK",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301115437",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301507600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.