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DR. ALISHA RENEE THIBAULT-HLADKI MD
NPI 1295264034
Psychiatry & Neurology - Psychiatry in Grand Rapids, MI

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548(616) 456-0842(616) 559-5864 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Jul 21, 2022, May 28, 2021 and 2 more (5 updates tracked since 2017).

About Dr. Alisha Renee Thibault-hladki Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALISHA RENEE THIBAULT-HLADKI MD (NPI 1295264034) is an individual psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301503863) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alpena, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1295264034
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ALISHA RENEE THIBAULT-HLADKICredential: MD
Location Address300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICESGrand Rapids, MI 49548
Mailing Address300 68th Street Se, Pine Rest Christian Mental Health ServicesGrand Rapids, MI 49548 · (616) 456-0842 · Fax (616) 559-5864
Phone(616) 456-0842
Fax(616) 559-5864
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateNovember 30, 20225 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1295264034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in MI · 4301503863✔ Licensed in MI · 4301111913✔ Licensed in MI · 4351032045
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
300 68TH STREET SE, Grand Rapids, MI 49548
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Secondary Practice Location 1

Location 1440 Baltimore Dr NEGrand Rapids, MI 49503-3934 · Phone (616) 454-4777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alisha Renee Thibault-hladki Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981974425
PECOS Enrollment IDI20210401001227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
164 services49 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mymichigan Medical Center Alpena

Acute Care Hospitals · Alpena, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number230036
Location1501 W Chisholm StAlpena, MI 49707 · Alpena County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TALAL KHAN M.D.
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICE,
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
ANTHONY N FRYLING DLLP
Psychologist
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5270
SHARITA MONTIEZ HALL LMSW
Social Worker
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. SANDRA MASSELINK LMSW
Social Worker (Clinical)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 795-1148
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Counselor (Addiction (Substance Use Disorder))
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (616) 281-6372
DR. HEIDI JUEL VROLIJK MD
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 456-0842
DR. ZACHARY DAVID LOY DO
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES
GRAND RAPIDS, MI 49548
Kent County (616) 456-0842
STEVEN S CLEVENGER DO
Psychiatry & Neurology (Psychiatry)
300 68TH STREET SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alisha Thibault-hladki's NPI number?

The NPI number for Alisha Thibault-hladki is 1295264034. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Alisha Thibault-hladki located?

Alisha Thibault-hladki practices at 300 68th Street SE Pine Rest Christian Mental Health Services, Grand Rapids, MI 49548. The listed phone number is (616) 456-0842.

What is Alisha Thibault-hladki's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Alisha Thibault-hladki enrolled in Medicare?

Yes. Alisha Thibault-hladki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alisha Thibault-hladki accept?

Health plans from Priority Health list Alisha Thibault-hladki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alisha Thibault-hladki affiliated with any hospitals?

According to CMS data, Alisha Thibault-hladki is affiliated with Mymichigan Medical Center Alpena.

When was this NPI record last updated?

The NPPES record for Alisha Thibault-hladki was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.