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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STATE OF MICHIGAN
NPI 1053480905
Psychiatric Hospital in Northville, MI

Active since November 07, 2006
18471 HAGGERTY RD, NORTHVILLE, MI 48168(248) 639-2300 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, Sep 12, 2024, Jul 27, 2023 and 3 more (6 updates tracked since 2016).

About State Of Michigan NPPES

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

STATE OF MICHIGAN (NPI 1053480905), doing business as Southeast Michigan Psychiatric Hospital Child And Adolescent Services, is a healthcare organization registered as a psychiatric hospital in Northville, Michigan and active in the NPI registry since November 2006. The organization lists Mary Clare Solky, Hospital Director, as its authorized official.

NPPES Registry Identity

NPI1053480905
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameSTATE OF MICHIGAN
Location Address18471 HAGGERTY RDNorthville, MI 48168-8513
Mailing Address18471 Haggerty RdNorthville, MI 48168-8513 · (248) 639-2300
Phone(248) 639-2300
Organization SubpartYesParent: Southeast Michigan Psychiatric Hospital
Authorized OfficialMary Clare SolkyHospital Director · (734) 367-8401
Enumeration DateNovember 7, 2006
Last NPPES UpdateOctober 28, 20266 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1053480905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X · License 5301000760 (MI)
18471 HAGGERTY RD, Northville, MI 48168
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Other Names 2

Doing Business AsSoutheast Michigan Psychiatric Hospital Child And Adolescent Services
Doing Business AsWalter P. Reuther Psychiatric Hospital Child And Adolescent Services

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 16

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

DR. SUMI TREESA CYRIAC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 735-6701
DR. A MI SOH M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 349-3000
DR. CAITLYN BRIANNE SORENSEN-KOWALSKI PHD, LP, BCBA-LBA
Psychologist (Clinical)
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 735-5928
DR. KAHKASHAN JABEEN CHOWDHRI M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 349-3000
GEORGE EVAN MELLOS M.D.
Psychiatry & Neurology (Psychiatry)
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 349-3000
DR. BRIAN PECK PH.D., LP
Psychologist
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 735-6724
DR. KENNETH RICHARD GIBSON III PH.D.
Psychologist
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 735-6713
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Psychiatric Hospital
18471 HAGGERTY RD
NORTHVILLE, MI 48168
Wayne County (248) 369-2300

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 State Of Michigan's NPI number?

The NPI number for State Of Michigan is 1053480905. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Southeast Michigan Psychiatric Hospital Child and Adolescent Services and Walter P. Reuther Psychiatric Hospital Child and Adolescent Services.

Where is State Of Michigan located?

State Of Michigan is located at 18471 Haggerty Rd, Northville, MI 48168. The listed phone number is (248) 639-2300.

What is State Of Michigan's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

What insurance does State Of Michigan accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list State Of Michigan 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 State Of Michigan was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.