Active NPI
State of Michigan Office of Financial Management
- Psychiatric Hospital
- Westland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 5301001649
- Legal business name
- STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
- Practice address
- 30901 Palmer Rd
Westland, MI 48186-5389 - Phone
- (734) 367-8576
- Fax
- (734) 722-6891
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Marie Russell
- Title
- Administrative Manager
- Phone
- (734) 367-8603
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 5301001649 | MI | Primary |
| Psychiatric Hospital | 283Q00000X | |||
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
30901 Palmer Rd
Westland, MI 48186-5389
Mailing address
30901 Palmer Rd
Westland, MI 48186-9529
Phone (734) 367-8603
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160H211210 | Other | MI | BCBSM GR# OBGYN |
| 110Q262600 | Other | MI | BCBSM GR # INTERNIST |
| 1758872 | Medicaid | MI | |
| 260Q262590 | Other | MI | BCBSM GR# PSYCHIATRIST |
| 480H278300 | Other | MI | BCBSM GR# PODIATRY |
| 010Q262580 | Other | MI | BCBSM GR# INTERNIST |
Other names 2
- STATE OF MICHIGAN
- Walter P. Reuther Psychiatric Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040114000603 | MI | Part B Supplier - Clinic/Group Practice | 5496650723 |
Receives reassigned benefits from 101 practitioners 4 other NPIs on this enrollment Practice locations: Kalamazoo, MI; Westland, MI; Marquette, MI; Caro, MI |
| O20040805000056 | MI | Part A Provider - Hospital | 5496650723 | Practice locations: Westland, MI |
Hospital certification: CCN 234035
- Legal name
- STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
- Doing business as
- WALTER P REUTHER PSYCHIATRIC HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Nov 27, 1992
- Last certification
- Apr 19, 2017
- Beds
- 242
- Ownership / control type
- State
- Organization structure
- Other
- Enrollment address
- 30901 Palmer Rd
Westland, MI 48186-9529 - Hospital subgroups
- General
Other NPIs with the same Medicare PAC ID 7
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
5496650723
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
5496650723
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
5496650723
-
- Nursing Facility/Intermediate Care Facility
- Marquette, MI
- NPI 1285604819
5496650723
-
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
5496650723
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1669046835
5496650723
-
- Nursing Facility/Intermediate Care Facility
- Grand Rapids, MI
- NPI 1710989298
5496650723
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
O20040114000603
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
O20040114000603
-
- Nursing Facility/Intermediate Care Facility
- Marquette, MI
- NPI 1285604819
O20040114000603
-
- Nursing Facility/Intermediate Care Facility
- Grand Rapids, MI
- NPI 1710989298
O20040114000603
Care Compare: Hospital
Medicare Care Compare- Listed as
- Walter P Reuther Psychiatric Hospital
- Type
- Psychiatric
- Ownership
- Government - State
- Medicare certification status
- Active
- Emergency services
- No
National Provider Directory
National Provider Directory- Tax ID family
- State of Mi Management
Other organizations with this tax ID 14
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Lansing, MI
- NPI 1215065883
-
- Local Education Agency (LEA)
- Flint, MI
- NPI 1437184033
-
- Psychiatric Hospital
- Westland, MI
- NPI 1053480905
-
- Long Term Care Pharmacy
- Grand Rapids, MI
- NPI 1093819229
-
- Long Term Care Hospital
- Mt Pleasant, MI
- NPI 1235208182
-
- Skilled Nursing Facility
- Marquette, MI
- NPI 1366912669
-
- Rehabilitation Counselor
- Lansing, MI
- NPI 1831739010
-
- Long Term Care Pharmacy
- Marquette, MI
- NPI 1952704843
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
-
- Institutional Pharmacy
- Chesterfield, MI
- NPI 1437737657
Locations
1312 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-3000
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Dijural Felder | W-2 Managing Employee | Aug 1, 2019 | 2% |
| Operational/Managerial Control | Aug 1, 2019 | 2% | |
| Kathryn Russell | W-2 Managing Employee | Sep 16, 2022 | 10% |
| Operational/Managerial Control | Sep 16, 2022 | 10% | |
| State of Michigan Office of Financial Management | 5% Or Greater Direct Ownership Interest | Nov 17, 1992 | 100% |
| Operational/Managerial Control | Dec 2, 2015 | 100% | |
| Tina Green | W-2 Managing Employee | Jul 1, 2022 | 1% |
Owners & managing parties with NPI records 7
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nursing Facility/Intermediate Care Facility
- Marquette, MI
- NPI 1285604819
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1669046835
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Nursing Facility/Intermediate Care Facility
- Grand Rapids, MI
- NPI 1710989298
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Caro Psychiatric Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) Operational/Managerial Control (100%) |
Jun 14, 1966 Jun 14, 1966 May 6, 2015 |
| Kalamazoo Psychiatric Hospital | Hospital | 5% Or Greater Direct Ownership Interest (100%) 5% Or Greater Security Interest (100%) Operational/Managerial Control (100%) |
Jan 1, 1966 Jan 1, 1966 May 6, 2015 |
| Center for Forensic Psychiatry | Hospital | 5% Or Greater Direct Ownership Interest (100%) | Aug 6, 1975 |
| DJ Jacobetti Home for Veterans | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
Jan 1, 1981 Jan 1, 1981 |
| Department of Military & Veteran Affairs | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Mar 1, 2019 Mar 1, 2019 |
| Department of Military & Veteran Affairs | Skilled nursing facility | Operational/Managerial Control (100%) Adp of the SNF |
May 17, 2021 Jan 1, 1885 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Psychiatric Hospital
- Saline, MI
- NPI 1942254321
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
5% Or Greater Direct Ownership Interest
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
5% Or Greater Direct Ownership Interest, 5% Or Greater Security Interest, Operational/Managerial Control
-
- Nursing Facility/Intermediate Care Facility
- Marquette, MI
- NPI 1285604819
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
Adp of the SNF, Operational/Managerial Control
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1669046835
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 6
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
State of Michigan Office of Financial Management
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
State of Michigan Office of Financial Management
-
- Psychiatric Hospital
- Caro, MI
- NPI 1194767996
State of Michigan Office of Financial Management
-
- Nursing Facility/Intermediate Care Facility
- Marquette, MI
- NPI 1285604819
State of Michigan Office of Financial Management
-
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
State of Michigan Office of Financial Management
-
- Skilled Nursing Facility
- Grand Rapids, MI
- NPI 1669046835
State of Michigan Office of Financial Management
Practitioners & affiliated clinicians
Practitioners 111
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1508883299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30901 PALMER RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481869529",
"telephone_number": "734-367-8603",
"fax_number": "734-367-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30901 PALMER RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481865389",
"telephone_number": "734-367-8576",
"fax_number": "734-722-6891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "KATHRYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "734-367-8603"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "MI",
"license": "5301001649",
"primary": true
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GR# OBGYN",
"identifier": "160H211210",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GR # INTERNIST",
"identifier": "110Q262600",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1758872",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GR# PSYCHIATRIST",
"identifier": "260Q262590",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GR# PODIATRY",
"identifier": "480H278300",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GR# INTERNIST",
"identifier": "010Q262580",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "STATE OF MICHIGAN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walter P. Reuther Psychiatric Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walter P. Reuther Psychiatric Hospital",
"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 Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.