Horizon Psychological Services, PLLC.
Psychologist, Clinical in Portland, MI. Organization (NPI-2).
NPI number1629697461
StatusActive
Last updated in NPPESApr 12, 2020
Details
- NPI
- 1629697461
- Entity type
- Organization (NPI-2)
- Legal business name
- Horizon Psychological Services, PLLC.
- Organization subpart
- No
- Enumeration date
- Apr 12, 2020
- Certification date
- Apr 12, 2020
- Last updated
- Apr 12, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
Practice location
1447 E Grand River AvePortland, MI 48875-1631
Phone 616-227-0555 · Fax 517-647-1100
Mailing address
1447 E Grand River AvePortland, MI 48875-1631
Phone 616-227-0555 · Fax 517-647-1100
Other practice locations
983 Spaulding Ave Se
Ada, MI 49301-3701
Ada, MI 49301-3701
Phone 616-227-0555
Authorized official
Hiral R Patel
Licensed Psychologist
4044836494
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