NPIMap

Organization Active NPI

State of Michigan

Doing business as Walter P. Reuther Psychiatric Hospital Child and Adolescent Services

  • Psychiatric Hospital
  • Westland, MI
National Provider Identifier
1053480905
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF MICHIGAN
Doing business as
Walter P. Reuther Psychiatric Hospital Child and Adolescent Services
Practice address
30901 Palmer Road
Westland, MI 48186-5389
Phone
(734) 367-8600
Fax
(248) 349-9552
NPI assigned
Nov 7, 2006
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
WALTER REUTHER PSYCHIATRIC HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Clare Solky, MA
Title
Hospital Director
Phone
(734) 367-8401

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X 5301000760 MI

Addresses

Primary practice location

30901 Palmer Road
Westland, MI 48186-5389

Mailing address

30901 Palmer Road
Westland, MI 48186-5389
Phone (734) 367-8600

Other identifiers 2

IdentifierTypeStateIssuer
1758890MedicaidMI
2040978OtherPK

Other names 1

  • Walter P. Reuther Psychiatric Hospital Child and Adolescent Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northville Psychiatric15 organizations share this tax ID, including this one
Part of
Northville Psychiatric

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1053480905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30901 PALMER ROAD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865389",
            "telephone_number": "734-367-8600",
            "fax_number": "248-349-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30901 PALMER ROAD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865389",
            "telephone_number": "734-367-8600",
            "fax_number": "248-349-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WALTER REUTHER PSYCHIATRIC HOSPITAL",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-09-12",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "SOLKY",
        "authorized_official_first_name": "MARY CLARE",
        "authorized_official_title_or_position": "HOSPITAL DIRECTOR",
        "authorized_official_telephone_number": "734-367-8401",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MI",
            "license": "5301000760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758890",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2040978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter P. Reuther Psychiatric Hospital Child and Adolescent Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.