ST JOSEPH MERCY HOSPITAL NPI 1588870984

NPI Information

NPI: 1588870984
Provider Name: ST JOSEPH MERCY HOSPITAL
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
5401 MCAULEY DR
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3456
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ST JOSEPH MERCY HOSPITAL is an adult mental health clinic center in Ypsilanti, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ST JOSEPH MERCY HOSPITAL NPI is 1588870984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5401 MCAULEY DR
YPSILANTI, MI
ZIP 48197-011
Phone: (734) 712-3456

The provider's authorized official is Michael P Gusho .
The authorized official title is Cfo Se Mi Region and has the following contact phone number (248) 858-6174.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist				No
2	103TP0016X	Psychologist	Prescribing (Medical)			No
3	1041C0700X	Social Worker	Clinical			No
4	106H00000X	Marriage & Family Therapist				No
5	2084P0800X	Psychiatry & Neurology	Psychiatry			No
6	261QM0850X	Clinic/Center	Adult Mental Health	1080000050	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10780	OTHER	MICHIGAN	BLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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