NPIMap

Organization Active NPI

Henry Ford Health System

Doing business as Henry Ford Cottage Hospital (Psych)

  • Psychiatric Hospital Unit
  • Grosse Pointe Farms, MI
National Provider Identifier
1114009032
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H-630001 Issued in MI
Legal business name
HENRY FORD HEALTH SYSTEM
Doing business as
Henry Ford Cottage Hospital (Psych)
Practice address
159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610
Phone
(313) 640-1000
Fax
(313) 884-8927
NPI assigned
Oct 19, 2006
Last updated
Mar 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
James Connelly
Title
Cfo
Phone
(313) 876-8714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H-630001 MI Primary

Addresses

Primary practice location

159 Kercheval Ave
Grosse Pointe Farms, MI 48236-3610

Mailing address

1 Ford PL
Detroit, MI 48202-3450
Phone (586) 498-4960

Other identifiers 16

IdentifierTypeStateIssuer
010900OtherMIE21 CARELINK NETWO
0726021OtherMIH71 AETNA HMO
369003700OtherMIJ52 US DEPT/LABOR
383404533002OtherMIG01 TRI-CARE
266564000OtherMIE20 COMM BEHAVIOR
383404533002OtherMIG03 TRICARE
49882OtherMIH45 OMNICARE
73 1557865MedicaidMI
341420303OtherMIJ23 MEADOWBROOK
14599OtherMIE22 PERSON CENTER
55150OtherMIH61 TOTAL HLTH CAR
000000001537OtherMIE04 CAPR HEALTH
121143OtherMIH08 CARE CHOICES HMO
200OtherMIOTHER: BCBSM
383404533002OtherMIG02 CHAMPVA CENTER
121143OtherMIH50 PREFERRED CHOI

Other names 1

  • Henry Ford Cottage Hospital (Psych) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bon Secours Cottage Health Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1114009032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "586-498-4960",
            "fax_number": "586-498-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363610",
            "telephone_number": "313-640-1000",
            "fax_number": "313-884-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY FORD HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "313-876-8714"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "H-630001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E21 CARELINK NETWO",
            "identifier": "010900",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H71 AETNA HMO",
            "identifier": "0726021",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J52 US DEPT/LABOR",
            "identifier": "369003700",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G01 TRI-CARE",
            "identifier": "383404533002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E20 COMM BEHAVIOR",
            "identifier": "266564000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G03 TRICARE",
            "identifier": "383404533002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H45 OMNICARE",
            "identifier": "49882",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73 1557865",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "J23 MEADOWBROOK",
            "identifier": "341420303",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E22 PERSON CENTER",
            "identifier": "14599",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H61 TOTAL HLTH CAR",
            "identifier": "55150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "E04 CAPR HEALTH",
            "identifier": "000000001537",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H08 CARE CHOICES HMO",
            "identifier": "121143",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER: BCBSM",
            "identifier": "200",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G02 CHAMPVA CENTER",
            "identifier": "383404533002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "H50 PREFERRED CHOI",
            "identifier": "121143",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henry Ford Cottage Hospital (Psych)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.