Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alisha Renee Thibault-Hladki, MD

Individual provider Psychiatry Physician · NPI 1295264034

Dr. Alisha Renee Thibault-Hladki, MD is a Psychiatry in Grand Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 2017, 9 years ago. Practices with Northeast Michigan Community Mental Health Authority, a 14-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
9
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 68th Street SE Pine Rest Christian Mental Health Services
Grand Rapids, MI 49548
Phone: (616) 456-0842
Fax: (616) 559-5864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 440 Baltimore Dr Ne, Grand Rapids, MI 49503-3934 — (616) 454-4777

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301503863 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4301111913 (MI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 4351032045 (MI)

Record details

NPI number1295264034
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESNovember 30, 2022
Certification dateNovember 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2017 (9 years in practice)
Group practice Northeast Michigan Community Mental Health Authority — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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