Healthcare Provider Details

I. General information

NPI: 1548195910
Provider Name (Legal Business Name): ORIGINS PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 LAKE LANSING RD
LANSING MI
48912-3753
US

IV. Provider business mailing address

1515 LAKE LANSING RD
LANSING MI
48912-3753
US

V. Phone/Fax

Practice location:
  • Phone: 434-249-9795
  • Fax:
Mailing address:
  • Phone: 434-249-9795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN SUMI HENDRIX
Title or Position: FOUNDER
Credential: MD
Phone: 434-249-9795