Individual provider Active NPI

Brittany Radler, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1992321830
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704298519 Issued in MI
Practice address
1 Hurley PLZ
Flint, MI 48503-5902
Phone
(810) 262-2100
NPI assigned
Jun 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704298519 MI Primary

Addresses

Primary practice location

1 Hurley PLZ
Flint, MI 48503-5902

Mailing address

1547 Fisherville CT
Auburn, MI 48611-8529

Other names 1

  • Brittany Boodt Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200925001735 MI Practitioner - Nurse Practitioner 0446679344 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

3950 Sparks Dr SE
Suite 103
Grand Rapids, MI 49546-6159
Phone (517) 882-3732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Mental Health Clinic PC CurrentSince May 4, 2023 Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Downriver Mental Health Clinic PC CurrentSince May 4, 2023 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center Nurse Practitioner Current Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2020 Accepting new patients

Locations

1400 Abbot Rd
Ste 400
East Lansing, MI 48823
Phone (810) 220-2787

1085 S Linden Rd
Ste 150
Flint, MI 48532
Phone (810) 262-2100

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

3950 Sparks Dr SE
Ste 103
Grand Rapids, MI 49546
Phone (616) 455-5000

650 Trade Centre Way
Ste 140
Portage, MI 49002
Phone (269) 492-6636

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brittanyradler@150339.advancedmd-direct.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1992321830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 FISHERVILLE CT",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486118529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HURLEY PLZ",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485035902",
            "telephone_number": "810-262-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADLER",
        "first_name": "BRITTANY",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704298519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BOODT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.