Active NPI
Mark W Hinshaw MD PC
- Child & Adolescent Psychiatry Physician
- Grand Rapids, MI
National Provider Identifier
1972682102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 4301030538
- Legal business name
- MARK W HINSHAW MD PC
- Practice address
- 1000 Parchment Dr SE
Grand Rapids, MI 49546 - Phone
- (616) 957-9197
- Fax
- (616) 957-2409
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark W Hinshaw, MD
- Title
- President
- Phone
- (616) 957-9197
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301030538 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301030538 | MI | Primary |
Addresses
Primary practice location
1000 Parchment Dr SE
Grand Rapids, MI 49546
Mailing address
1000 Parchment Dr SE
Grand Rapids, MI 49546
Phone (616) 957-9197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301030538 | Other | MI | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1972682102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 PARCHMENT DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-957-9197",
"fax_number": "616-957-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PARCHMENT DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49546",
"telephone_number": "616-957-9197",
"fax_number": "616-957-2409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK W HINSHAW MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "HINSHAW",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-957-9197",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301030538",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301030538",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "4301030538",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.