NPIMap

Organization Active NPI

State of Michigan Office of Financial Management

Doing business as State of Michigan

  • Psychiatric Hospital
  • Northville, MI
National Provider Identifier
1508883299
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
5301001649 Issued in MI
Legal business name
STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT
Doing business as
State of Michigan
Southeast Michigan Psychiatric Hospital
Walter P. Reuther Psychiatric Hospital
Practice address
18471 Haggerty Rd
Northville, MI 48168-8513
Phone
(248) 369-2300
NPI assigned
Jul 17, 2006
Last updated
Oct 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Authorized official

Name
Karrie L Harris
Title
Compliance
Phone
(248) 639-2231

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 5301001649 MI Primary
Psychiatric Hospital 283Q00000X
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

18471 Haggerty Rd
Northville, MI 48168-8513

Mailing address

18471 Haggerty Rd
Northville, MI 48168-8513
Phone (248) 369-2300

Other practice location 1

30901 Palmer Rd
Westland, MI 48186-5389
Phone (734) 367-8576

Other names 3

  • STATE OF MICHIGAN Doing business as
  • Southeast Michigan Psychiatric Hospital Doing business as
  • Walter P. Reuther Psychiatric 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
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508883299. Details of each certification follow.

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
OtherNon-profit
Enrollment address
30901 Palmer Rd
Westland, MI 48186-9529
Main/Primary Hospital Location
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).

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Walter P Reuther Psychiatric HospitalCCN 234035 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Gross S15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

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.

NameRoleSinceShare
Dijural Felder Individual W-2 Managing EmployeeAdministrative Manager Aug 1, 2019 2%
Operational/Managerial ControlAdministrative Manager Aug 1, 2019 2%
Kathryn Russell Individual W-2 Managing EmployeeAdministrative Officer Sep 16, 2022 10%
Operational/Managerial ControlAdministrative Officer Sep 16, 2022 10%
State of Michigan Office of Financial Management Organization, Westland, MI Non-profit 5% Or Greater Direct Ownership Interest Nov 17, 1992 100%
Operational/Managerial Control Dec 2, 2015 100%
Tina Green Individual W-2 Managing EmployeeDirector of Reimbursement 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.

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Caro Psychiatric HospitalCaro, MI, CCN 234025 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 HospitalKalamazoo, MI, CCN 234026 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 PsychiatrySaline, MI, CCN 234041 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 6, 1975
DJ Jacobetti Home for VeteransMarquette, MI, CCN 235724 Skilled nursing facility Operational/Managerial Control (100%)
Adp of the SNF		 Jan 1, 1981
Jan 1, 1981
Department of Military & Veteran AffairsChesterfield, MI, CCN 235728 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2019
Mar 1, 2019
Department of Military & Veteran AffairsGrand Rapids, MI, CCN 235729 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.

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 119

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 119

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": "1793059200000",
    "number": "1508883299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18471 HAGGERTY RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688513",
            "telephone_number": "248-369-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18471 HAGGERTY RD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688513",
            "telephone_number": "248-369-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30901 Palmer Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481865389",
            "country_code": "US",
            "telephone_number": "734-367-8576",
            "fax_number": "734-722-6891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STATE OF MICHIGAN OFFICE OF FINANCIAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-26",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "248-639-2231"
    },
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATE OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeast Michigan Psychiatric Hospital",
            "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 Northville, MI

Sources for this page

Verify at the official NPI Registry.