Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCLAREN PORT HURON
NPI 1386888170
Psychiatry & Neurology - Psychiatry in Port Huron, MI

Active since April 24, 2009CLIA Certified · 4 labs
1209 RICHARDSON ST, PORT HURON, MI 48060(810) 984-5156 Get Directions Write a Review

NPPES record last updated: October 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 13, 2026, Jul 30, 2020 (2 updates tracked since 2020).

About Mclaren Port Huron NPPES

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

MCLAREN PORT HURON (NPI 1386888170), doing business as Port Huron Hospital Physician Grp, is a healthcare organization registered as a psychiatry in Port Huron, Michigan and active in the NPI registry since April 2009. The organization holds 4 active CLIA laboratory certificates and lists Kyle Christopher Albert Vining, Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1386888170
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameMCLAREN PORT HURON
Location Address1209 RICHARDSON STPort Huron, MI 48060-3548
Mailing Address1221 Pine Grove AvePort Huron, MI 48060-3511 · (810) 984-5156
Organization SubpartNo
Authorized OfficialKyle Christopher Albert ViningVp/cfo · (810) 989-3700
Enumeration DateApril 24, 2009
Last NPPES UpdateOctober 13, 20262 updates tracked since enumeration
NPPES CertifiedOctober 13, 2026
✔ NPI 1386888170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MI · JM013191
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.
Also ListedSocial WorkerTaxonomy 104100000X · License MN084311 (MI)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License AG643729 (MI)
Also ListedInternal MedicineTaxonomy 207R00000X · License MS040821 (MI)
1209 RICHARDSON ST, Port Huron, MI 48060

Other Names 1

Doing Business AsPort Huron Hospital Physician Grp

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mclaren Port Huron is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

87

Medicare enrollment records show 87 clinicians reassign Medicare billing to Mclaren Port Huron, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner14
Psychiatry12
General Surgery9
Thoracic Surgery8
Family Practice7
Obstetrics/Gynecology7
Internal Medicine6
Neurology5
10 other specialties19

Nearest to this location (20)

See all 87
General Surgery
NPI 1952410987
1221 RICHARDSON ST
Port Huron, MI 48060
(810) 982-1111
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386750172
1206 WASHINGTON AVE
Port Huron, MI 48060
(810) 984-3100
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1598723330
1206 WASHINGTON AVE
Port Huron, MI 48060
(810) 984-3100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346760741
1216 RICHARDSON ST
Port Huron, MI 48060
(810) 985-2620
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1013983253
1216 RICHARDSON ST
Port Huron, MI 48060
(810) 985-2640
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1750379194
1313 STONE ST
Port Huron, MI 48060
(810) 985-2620
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1902328925
1313 STONE ST
Port Huron, MI 48060
(810) 985-2620
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1750479846
1313 STONE ST
Port Huron, MI 48060
(810) 984-3559
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790424117
1313 STONE ST
Port Huron, MI 48060
(810) 985-2620
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1770144164
1216 RICHARDSON ST
Port Huron, MI 48060
(810) 985-2640
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1982631008
1217 KEARNEY ST STE 2
Port Huron, MI 48060
(810) 990-8302
✔ PECOS0.1 mi
Gastroenterology
NPI 1518524800
1231 PINE GROVE AVE STE 1B
Port Huron, MI 48060
(810) 989-1080
✔ PECOS✔ Accepts Medicare0.2 mi
Psychiatry
NPI 1528445244
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 985-2614
✔ PECOS✔ Accepts Medicare0.2 mi
Obstetrics/Gynecology
NPI 1023076866
1221 PINE GROVE AVE
Port Huron, MI 48060
(810) 985-2663
✔ PECOS✔ Accepts Medicare0.2 mi
Pulmonary Disease
NPI 1922074863
1231 PINE GROVE AVENUE SUITE 2B
Port Huron, MI 48060
(810) 987-5500
✔ PECOS✔ Accepts Medicare0.2 mi
Infectious Disease
NPI 1598731473
1231 PINE GROVE AVE INFECTIOUS DISEASE, SUITE 1B
Port Huron, MI 48060
(810) 966-1993
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1487280426
1231 PINE GROVE AVE
Port Huron, MI 48060
(810) 987-5500
✔ PECOS0.2 mi
Orthopedic Surgery
NPI 1194797654
1231 PINE GROVE AVE SUITE 1A
Port Huron, MI 48060
(810) 985-4300
✔ PECOS✔ Accepts Medicare0.2 mi
Vascular Surgery
NPI 1821087453
1107 STONE ST SUITE 1
Port Huron, MI 48060
(810) 989-6113
✔ PECOS✔ Accepts Medicare0.2 mi
Thoracic Surgery
NPI 1295266112
1117 STONE ST STE 1
Port Huron, MI 48060
(810) 488-8480
✔ PECOS✔ Accepts Medicare0.2 mi
See all 87 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 23D0035913

Mclaren Port Huron · Port Huron, MI
Active · expires Mar 14, 2027
CLIA Number23D0035913
Laboratory TypeHospital
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorDr. Aaron J. Goldfarb
Laboratory Phone(810) 989-3263
Laboratory LocationMclaren Port Huron1221 Pine Grove Avenue, Port Huron, MI 48060
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 23D2304811

Mclaren Port Huron Academic Center For Family Medicine · Port Huron, MI
Active · expires May 19, 2028
CLIA Number23D2304811
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorBlair G. Dowden III
Laboratory Phone(810) 985-2620
Laboratory LocationMclaren Port Huron Academic Center For Family Medicine1313 Stone Street, Port Huron, MI 48060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 23D2304812

Mclaren Port Huron Academic Center For Internal Medicine · Port Huron, MI
Active · expires May 19, 2028
CLIA Number23D2304812
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorHnin N. Lwin
Laboratory Phone(810) 985-2640
Laboratory LocationMclaren Port Huron Academic Center For Internal Medicine1216 Richardson Street, Port Huron, MI 48060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0364291

Mclaren Port Huron - Urology Associates · Port Huron, MI
Active · expires Aug 13, 2027
CLIA Number23D0364291
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorGlenn G. Betrus
Laboratory Phone(248) 336-0123
Laboratory LocationMclaren Port Huron - Urology Associates1037 Water Street Suite 1, Port Huron, MI 48060
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Mclaren Port Huron's NPI number?

The NPI number for Mclaren Port Huron is 1386888170. It was assigned to this organization in the NPPES registry on April 24, 2009. The provider is doing business as Port Huron Hospital Physician Grp.

Where is Mclaren Port Huron located?

Mclaren Port Huron is located at 1209 Richardson St, Port Huron, MI 48060. The listed phone number is (810) 984-5156.

What is Mclaren Port Huron's specialty?

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

Is Mclaren Port Huron enrolled in Medicare?

Yes. Mclaren Port Huron is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mclaren Port Huron?

According to the CMS Revalidation Reassignment List (October 2026 release), 87 clinicians in 18 Medicare specialties reassign their Medicare billing to Mclaren Port Huron. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (14), Psychiatry (12) and General Surgery (9). Of these, 5 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mclaren Port Huron hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mclaren Port Huron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mclaren Port Huron 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.

When was this NPI record last updated?

The NPPES record for Mclaren Port Huron was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.