NPIMap

Organization Active NPI

St Mary Mercy Hospital

  • Psychiatric Hospital Unit
  • Livonia, MI
National Provider Identifier
1093721490
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H05012006 Issued in MI
Legal business name
ST MARY MERCY HOSPITAL
Practice address
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone
(734) 655-4800
Fax
(734) 655-1274
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Ariana Grace Raymond
Title
Manager, Entity Provider Enrollment
Phone
(734) 343-1466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H05012006 MI Primary

Addresses

Primary practice location

36475 5 Mile Rd
Livonia, MI 48154-1971

Mailing address

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061214000209 MI Part A Provider - Hospital 2163323585 Practice locations: Livonia, MI

Hospital certification: CCN 23S002

Legal name
ST MARY MERCY HOSPITAL
Doing business as
TRINITY HEALTH LIVONIA HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
36475 5 Mile Rd
Livonia, MI 48154-1971
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
St Mary Mercy Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
William Morris Individual Corporate DirectorBoard Member Mar 1, 2022
Edmund F Hodge Individual Corporate DirectorBoard Member Jan 1, 2019
Spencer T Maidlow Individual Corporate DirectorBoard Member Jan 1, 2019
Michael Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Linda J Werthman Individual Corporate DirectorBoard Member Nov 26, 2022
Sara Dolan Individual Corporate DirectorBoard Member Jan 1, 2025
Matthew J Griffin Individual Corporate OfficerPresident & Ceo Jul 1, 2024
Suzanne Mellon Individual Corporate DirectorBoard Member Aug 3, 2021
Paula Chermside Individual Corporate DirectorBoard Member Jan 1, 2026
Shannon Striebich Individual Corporate OfficerPresident & Ceo Jul 1, 2024
Corporate DirectorBoard Member Jul 1, 2024
Michael P Gusho Individual Corporate OfficerTreasurer & Regional Cfo Jul 23, 2014
Joseph Fleck Individual Corporate DirectorBoard Member Jan 1, 2026
Melissa Karolak Individual W-2 Managing EmployeeRHM VP of Finance Dec 30, 2018
Operational/Managerial Control Dec 30, 2018
Trinity Health-Michigan Organization, Livonia, MI Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2000 100%
Robert F Casalou Individual Corporate OfficerPresident & Ceo Jan 1, 2018
W-2 Managing EmployeePresident & Ceo Oct 1, 2008
Christian Schafer Individual Corporate OfficerSecretary Jan 1, 2026
Eric C Ferguson Individual Corporate DirectorBoard Member Aug 3, 2021
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 15, 2013 100%
Jean M Nagelkerk Individual Corporate OfficerVice Chair Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2019
Wayman P Britt Individual Corporate OfficerChair Jan 1, 2025
Corporate DirectorBoard Member Mar 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

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

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1093721490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "734-655-4800",
            "fax_number": "734-655-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER, ENTITY PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "734-343-1466"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "H05012006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.