PORT HURON HOSPITAL PHYSICIAN GRP
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: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Port Huron Hospital Physician Grp NPPES

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

PORT HURON HOSPITAL PHYSICIAN GRP (NPI 1386888170) 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 Bridget Sholtis, 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 OfficialBridget SholtisVp/cfo · (810) 989-3749
Enumeration DateApril 24, 2009
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
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

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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.

Other Providers at the Same Location NPPES 7

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

Psychiatry & Neurology (Psychiatry)
1209 RICHARDSON ST
PORT HURON, MI 48060
Psychologist (Clinical)
1209 RICHARDSON ST
PORT HURON, MI 48060
Social Worker (Clinical)
1209 RICHARDSON ST
PORT HURON, MI 48060
Psychiatry & Neurology (Psychiatry)
1209 RICHARDSON ST
PORT HURON, MI 48060
Social Worker (Clinical)
1209 RICHARDSON ST
PORT HURON, MI 48060
Social Worker (Clinical)
1209 RICHARDSON ST
PORT HURON, MI 48060
Social Worker (Clinical)
1209 RICHARDSON ST
PORT HURON, MI 48060

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.

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 July 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.