Individual provider Active NPI

Gregory Scott Thornhill

  • Psychologist
  • Linden, MI
National Provider Identifier
1922526623
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361007922 Issued in MI
Practice address
126 N Bridge St
Linden, MI 48451-8623
Phone
(810) 333-6666
NPI assigned
Sep 1, 2017
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361007922 MI Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

126 N Bridge St
Linden, MI 48451-8623

Mailing address

215 S Main St Unit 112
Linden, MI 48451-7004
Phone (810) 458-4718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6361007922MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Life Counseling PLLC CurrentSince Aug 1, 2025 Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Creekside Counseling Group LLC Clinical PastSince Dec 19, 2023 Accepting new patients

Locations

215 S Main St
Unit 112
Linden, MI 48451

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, 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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1922526623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S MAIN ST UNIT 112",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484517004",
            "telephone_number": "810-458-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N BRIDGE ST",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518623",
            "telephone_number": "810-333-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNHILL",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007922",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.