Active NPI
Chayson Hurst, MD
- Psychiatry Physician
- Detroit, MI
National Provider Identifier
1962082354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301510502
- Practice address
- 4201 St. Antoine
Uhc-9C
Detroit, MI 48201-4820 - Phone
- (313) 745-5146
- NPI assigned
- Apr 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 4301510502 | MI | Primary |
Addresses
Primary practice location
4201 St. Antoine
Uhc-9C
Detroit, MI 48201-4820
Mailing address
4201 St. Antoine
Uhc-9C
Detroit, MI 48201
Other practice location 1
14050 Kingston St
Oak Park, MI 48237-1140
Phone (734) 497-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Wayne State University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
930 S Detroit Ave
Toledo, OH 43614-2701
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301510502 | MI | MD | Psychiatry Physician |
Interoperability endpoints
- chayson.hurst.1@19711.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1962082354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE",
"address_2": "UHC-9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE",
"address_2": "UHC-9C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482014820",
"telephone_number": "313-745-5146"
}
],
"practiceLocations": [
{
"address_1": "14050 Kingston St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "MI",
"postal_code": "482371140",
"country_code": "US",
"telephone_number": "734-497-3151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "CHAYSON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-10",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301510502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.