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ST. JOHN PROVIDENCE MACOMB/OAKLAND
NPI 1477846293
Psychiatric Hospital in Warren, MI

Active since May 26, 2011
11800 E 12 MILE RD, WARREN, MI 48093(585) 573-5300 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St. John Providence Macomb/oakland NPPES

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

ST. JOHN PROVIDENCE MACOMB/OAKLAND (NPI 1477846293) is a healthcare organization registered as a psychiatric hospital in Warren, Michigan and active in the NPI registry since May 2011. The organization lists Bal K Gupta, Director Of Behaviorial Medicine, as its authorized official.

NPPES Registry Identity

NPI1477846293
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameST. JOHN PROVIDENCE MACOMB/OAKLAND
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address11800 E 12 Mile RdWarren, MI 48093-3472 · (585) 573-5300
Phone(585) 573-5300
Organization SubpartNo
Authorized OfficialBal K GuptaDirector Of Behaviorial Medicine · (586) 573-5300
Enumeration DateMay 26, 2011
✔ NPI 1477846293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Licenses✔ Licensed in MI · 6802070800✔ Licensed in MI · 6401002292
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.
11800 E 12 MILE RD, Warren, MI 48093
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Other Providers at the Same Location NPPES 20

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

DR. MICHEAL BUGGIA M.D.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
BRANDON MICHAEL TATAR MSN, APRN, ACCNS-AG
Clinical Nurse Specialist (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 854-1108
TRICOUNTY HOSPITALISTS, PLLC
Hospitalist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
KIMBERLY A MANZAROLI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260
DOMIAN KANDAH D.O.
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5059
AUTUMN BJORNSTAD MA, CCC-SLP
Speech-Language Pathologist
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 576-4381
MRS. LAUREN ASHLEY ZIPAY AGACNP-BC
Nurse Practitioner (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5000
METODIJA NAUMOVSKI CRNA
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Macomb County (586) 573-5260

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 St. John Providence Macomb/Oakland's NPI number?

The NPI number for St. John Providence Macomb/Oakland is 1477846293. It was assigned to this organization in the NPPES registry on May 26, 2011.

Where is St. John Providence Macomb/Oakland located?

St. John Providence Macomb/Oakland is located at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (585) 573-5300.

What is St. John Providence Macomb/Oakland's specialty?

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

When was this NPI record last updated?

The NPPES record for St. John Providence Macomb/Oakland was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.