Etienne V Dehoorne, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301054294 Issued in MI

Practice address

5401 McAuley Drive
Ypsilanti, MI 48197

Phone

(734) 786-2300

Fax

(734) 786-4915

NPI assigned

Jan 15, 2007

Last updated

Aug 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Psychiatry

Education

Wayne State University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edehoorne41027@direct.trinity-health.org

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.

• Iha Health Services Corporation

  dba IHA Canton Obstetrics and Gynecology

  • Obstetrics & Gynecology Physician
  • Canton, MI
  • NPI 1457408965
  Medicare reassignment Care Compare group NPD
• Catholic Social Services of Washtenaw County

  • Voluntary or Charitable Agency
  • Ann Arbor, MI
  • NPI 1679687339
  Medicare reassignment NPD
• Chelsea Community Hospital

  dba St. Joseph Mercy Chelsea

  • Psychiatry Physician
  • Chelsea, MI
  • NPI 1912947409
  Medicare reassignment NPD
• Chelsea Community Hospital

  • Urgent Care Clinic/Center
  • Chelsea, MI
  • NPI 1033778733
  NPD
• Chelsea Community Hospital

  • Certified Registered Nurse Anesthetist
  • Chelsea, MI
  • NPI 1568542967
  NPD
• Iha Health Service Corporation

  dba Trinity Health IHA Medical Group OB/GYN Float

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
  • NPI 1831053701
  NPD
• Iha Health Services Corporation

  dba Trinity Health IHA Medical Group Psychiatry & Counseling

  • Psychiatry Physician
  • Ypsilanti, MI
  • NPI 1164137709
  NPD
• Chelsea Community Hospital

  dba St. Joseph Mercy Chelsea

  • Clinical Psychologist
  • Chelsea, MI
  • NPI 1356440689

  Psychiatry

  NPD (past)
• St Joseph Mercy Hospital

  dba Trinity Health Ann Arbor Hospital

  • Psychiatric Hospital Unit
  • Ypsilanti, MI
  • NPI 1750437877
  NPD (past)

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

• St Joseph Mercy Hospital

  dba Trinity Heath Ann Arbor Hospital

  • General Acute Care Hospital
  • Ypsilanti, MI
  • NPI 1780658443
  Care Compare affiliation

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1972654267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DRIVE",
            "address_2": "STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 MCAULEY DRIVE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-786-2300",
            "fax_number": "734-786-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHOORNE",
        "first_name": "ETIENNE",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301054294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP",
            "identifier": "260H161260",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102960544",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajiv Deenadayalu, M.D.
• Deepwater Counseling, PLLC
• Amanda Defeo, DO
• Daniel Patrick Defer, P.A.-C
• Rossana Degrood, M.D.
• Richard James Deighton, LMSW
• Javier Del Bosque Gomez
• Robert G Dela Cruz, M.D.
• Emerson Lane Delacroix, LLP
• Hope Delecke, RN, AGPCNP - BC

• Psychiatry Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.

Verify at the official NPI Registry.