ST MARY MERCY HOSPITAL PROFESSIONAL
NPI 1073063400
Community/Behavioral Health in Ann Arbor, MI

Active since October 10, 2016
2006 HOGBACK RD, SUITE 1, ANN ARBOR, MI 48105(734) 786-2300 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2016, Oct 10, 2016 (2 updates tracked since 2016).

  • Organization
  • Community/Behavioral Health

About ST MARY MERCY HOSPITAL PROFESSIONAL

This page provides the complete NPI Profile along with additional information for St Mary Mercy Hospital Professional, a provider established in Ann Arbor, Michigan operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1073063400 assigned on October 2016. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Michael P Gusho (Semi Regional Cfo)

NPI
1073063400 Verify this NPI
Provider Name
ST MARY MERCY HOSPITAL PROFESSIONAL
Entity Type
Organization
Location Address
2006 HOGBACK RD SUITE 1 ANN ARBOR, MI 48105
Location Phone
(734) 786-2300
Mailing Address
36475 5 MILE RD LIVONIA, MI 48154
Mailing Phone
(734) 655-4800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2016
Last Update Date
10-17-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL P GUSHO

Authorized Official Title
SEMI REGIONAL CFO
Authorized Official Phone
(248) 858-6174

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
230002MEDICARE OSCAR/CERTIFICATION (06)MI 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Anesthesiology
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Nurse Anesthetist, Certified Registered
2006 HOGBACK RD, SUITE 5
ANN ARBOR, MI 48105
Social Worker (Clinical)
2006 HOGBACK RD, SUITE 1
ANN ARBOR, MI 48105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073063400, enumerated as an "organization" on October 10, 2016.

The provider is located at 2006 HOGBACK RD SUITE 1 ANN ARBOR, MI 48105 and the phone number is (734) 786-2300.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.