NPIMap

Organization Active NPI

Havenwyck Hospital Inc

Doing business as Cedar Creek Hospital

  • Psychiatric Hospital
  • Saint Johns, MI
National Provider Identifier
1053841650
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
HAVENWYCK HOSPITAL INC
Doing business as
Cedar Creek Hospital
Practice address
101 W Townsend Rd
St Johns, MI 48879
Phone
(248) 373-9200
NPI assigned
Jun 15, 2017
Last updated
Jun 15, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Steve Filton
Title
Sr VP Cfo
Phone
(610) 768-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

101 W Townsend Rd
St Johns, MI 48879

Mailing address

101 W Townsend Rd
Saint Johns, MI 48879-9200

Other names 1

  • Cedar Creek Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170817000868 MI Part B Supplier - Clinic/Group Practice 5799697603 Receives reassigned benefits from 15 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn Hills, MI; Saint Johns, MI
O20180424000955 MI Part A Provider - Hospital 5799697603 Practice locations: Lansing, MI; Saint Johns, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053841650. Details of each certification follow.

Hospital certification: CCN 234043

Legal name
HAVENWYCK HOSPITAL INC
Doing business as
CEDAR CREEK HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jan 16, 2018
Last certification
Jan 16, 2018
Beds
34
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
101 W Townsend Rd
Saint Johns, MI 48879-9200
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Cedar Creek HospitalCCN 234043 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2137001Cedar Creek Hospital101 W Townsend Road, Saint Johns, MI 48879Certificate of waiverSep 18, 2027

National Provider Directory

National Provider Directory

Locations

1500 University Dr
Ste 173
Auburn Hills, MI 48326
Phone (248) 373-9200

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert S Aldrich Individual Contracted Managing EmployeeCfo Oct 30, 2023
Corporate OfficerCfo Oct 30, 2023
Premier Behavioral Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 18, 1988 100%
George H Brunner Individual Corporate OfficerAssistant Secretary Sep 1, 2017 100%
Katharine M Lyver Individual Corporate OfficerAssistant Treasurer Jan 1, 2024 100%
Matthew D Klein Individual Corporate OfficerSecretary Sep 1, 2017 100%
Matthew J Peterson Individual Corporate OfficerPresident Sep 19, 2019 100%
Corporate DirectorPresident Sep 19, 2019 33.3%
Operational/Managerial ControlPresident Sep 19, 2019 100%
Michigan Psychiatric Services, Inc Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 18, 1988 100%
Thomas M Day Individual Corporate OfficerVice President Jul 20, 2021 100%
Corporate DirectorVice President Jul 20, 2021 33.3%
Steve Filton Individual Corporate OfficerVice President, Board Member Sep 1, 2017 100%
Corporate DirectorVice President, Board Member Sep 1, 2017 33.3%
Operational/Managerial ControlVice President, Board Member Sep 1, 2017 100%
Cheryl K Ramagano Individual Corporate OfficerTreasurer Sep 1, 2017 100%
Universal Health Services Inc Organization, King of Prussia, PA Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Nov 15, 2010 100%
James M Coleman Individual Contracted Managing EmployeeSenior Reimbursement Manager Sep 1, 2017 100%
Uhs of Delaware Inc Organization, King of Prussia, PA Corporation, Management services company, Chain home office Operational/Managerial Control Nov 15, 2010 100%
Psychiatric Solutions, Inc. Organization, King of Prussia, PA Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jan 18, 1988 100%
Steve Vernon Individual Contracted Managing EmployeeCeo Oct 2, 2023
Corporate OfficerCeo Oct 2, 2023
Alan B Miller Individual 5% Or Greater Indirect Ownership InterestChairman of the Board Jan 1, 2021 85%

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Metropolitan Behavioral HealthDearborn, MI, CCN 234045 Hospital 5% Or Greater Direct Ownership Interest (70%) Sep 21, 2018
Southridge Behavioral HospitalByron Center, MI, CCN 234052 Hospital 5% Or Greater Direct Ownership Interest (51%) May 28, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 172

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 172

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1053841650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W TOWNSEND RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W TOWNSEND RD",
            "city": "ST JOHNS",
            "state": "MI",
            "postal_code": "48879",
            "telephone_number": "248-373-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENWYCK HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "SR VP CFO",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Creek Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.