Taylor Hennrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007484 Issued in MI

Practice address

142 E Maumee St Ste 3
Adrian, MI 49221-2735

Phone

(517) 263-5810

NPI assigned

Sep 14, 2015

Last updated

Sep 3, 2019By 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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Acpc PLLCGroup PAC ID 4981947850, 19 clinicians

Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adriancounselingandpsychiatricclinic.taylorhennrick@153442.advancedmd-direct.com
• Direct secure messaging: purepsychiatryofmichigan.taylorhennrick@153418.advancedmd-direct.com

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.

• Acpc PLLC

  • Physician Assistant
  • Adrian, MI
  • NPI 1831658483
  Medicare reassignment Care Compare group
• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment Care Compare group
• Downriver Mental Health Clinic PC

  dba Lifestance Health, Inc

  • Psychologist
  • Taylor, MI
  • NPI 1295866135
  Medicare reassignment NPD
• Pillar Recovery Services

  • Family Nurse Practitioner
  • Canton, MI
  • NPI 1275323255
  Medicare reassignment NPD
• Inpatient Consultants of Michigan PC

  • Hospitalist Physician
  • Livonia, MI
  • NPI 1861442824
  Medicare reassignment
• Lincoln Behavioral Services

  • Psychiatry Physician
  • Redford, MI
  • NPI 1669451944
  Medicare reassignment
• Macomb Therapy Group, PLLC

  • Professional Counselor
  • Clinton Township, MI
  • NPI 1801245972
  Medicare reassignment
• Lincoln Behavioral Services

  • Family Medicine Physician
  • Redford, MI
  • NPI 1356987762
  NPD
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wixom, MI
  • NPI 1154230100
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, MI
  • NPI 1184533135
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Adrian, MI
  • NPI 1205745254
  NPD (past)
• Pure Psychiatry of Michigan PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Plymouth, MI
  • NPI 1417866450
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1982072435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST STE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-263-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNRICK",
        "first_name": "TAYLOR",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heffron Clinic, P.C.
• Hannah Marie Heller
• Emily Grace Hendrixq, CCC-SLP
• Amy Leigh Henning, OT
• Ranay Lynn Henning
• Amanda Leigh Henry, LLPC
• Kristen D Henry, MA LPC
• Kelci Marie Hensley, PA-C
• Evelyn G Hernandez
• Kendall Herron

• Physician Assistant in Adrian, MI
• Providers in Adrian, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.