MEDICARE: SUZANNE JEANNE HUBERTY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	4301502131	MI

General Provider Information

NPI Number	:	1154718237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUZANNE JEANNE HUBERTY M.D.

Provider Business Mailing Address
First Line	:	7950 MOORSBRIDGE RD STE 304
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-4420
Country	:	US
Telephone Number	:	269-222-2109
Fax Number	:	800-350-5021

Provider Business Practice Location Address
First Line	:	7950 MOORSBRIDGE RD STE 304
Second Line	:
City	:	PORTAGE
State	:	MI
Zip	:	49024-4420
Country	:	US
Telephone Number	:	269-222-2109
Fax Number	:	800-350-5021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	01/30/2026

Similar Medicare Providers

1427924398 — ALPENGLOW MENTAL HEALTH
Practice Location Address:

7950 MOORSBRIDGE RD STE 305
PORTAGE, MI
49024-4420

Practice Phone: 269-222-2109
Practice Fax: 800-350-5021

1720717010 — NICOLE L SCHREPPER
Practice Location Address:

526 W CENTRE AVE
PORTAGE, MI
49024-5306

Practice Phone: 269-303-2299
Practice Fax:

1285972133 — JACQUELINE A BODDY MS, OT
Practice Location Address:

6404 SUSSEX ST
PORTAGE, MI
49024-2653

Practice Phone: 269-271-3585
Practice Fax:

1285584565 — SAFE AT HOME THERAPY LLC
Practice Location Address:

6404 SUSSEX ST
PORTAGE, MI
49024-2653

Practice Phone: 269-271-3585
Practice Fax:

1831059336 — SARAH BROCK
Practice Location Address:

1400 W MILHAM AVE
PORTAGE, MI
49024-1209

Practice Phone: 269-312-8686
Practice Fax:

1932404308 — STACEY VIRGINIA CRANE LPC
Practice Location Address:

8225 MOORSBRIDGE RD
PORTAGE, MI
49024-7845

Practice Phone: 800-395-3223
Practice Fax: 248-620-6405

Directions to “ SUZANNE JEANNE HUBERTY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.