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Organization Active NPI

St Joseph Mercy Hospital-SMHC

  • Psychiatric Hospital Unit
  • Pontiac, MI
National Provider Identifier
1679501936
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
H047 Issued in MI
Legal business name
ST JOSEPH MERCY HOSPITAL-SMHC
Practice address
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone
(248) 858-3000
NPI assigned
Jun 28, 2006
Organization subpart
Yes
Parent organization
TRINITY HEALTH MICHIGANAs reported in NPPES

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
Mr. Michael P Gusho
Title
Cfo
Phone
(231) 672-3886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X H047 MI Primary

Addresses

Primary practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Mailing address

44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3000

Other identifiers 3

IdentifierTypeStateIssuer
1557533MedicaidMI
5172026MedicaidMI
20008OtherMIBLUE CROSS IP/OP SUB ABUS

Other names 1

  • St Joseph Mercy Oakland Doing business as

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
O20070215000696 MI Part A Provider - Hospital 7719896596 Practice locations: Pontiac, MI

Hospital certification: CCN 23S029

Legal name
ST JOSEPH MERCY HOSPITAL-SMHC
Doing business as
TRINITY HEALTH OAKLAND HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
44405 Woodward Ave
Pontiac, MI 48341-5023
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 2

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

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Mercy Hosp SMHC6 organizations share this tax ID, including this one
Part of
Mercy Health Services

Other organizations with this tax ID 5

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.

Locations

2495 Hospital Dr
Ste 450
Mountain View, CA 94040
Phone (650) 962-4370

1655 E Cactus Ave
Ste 210
Las Vegas, NV 89183
Phone (702) 724-8787

Ownership & related parties

All disclosed owners & managing parties 18

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, 2016
Michael Williams Individual Corporate DirectorBoard Member Jan 1, 2025
Linda J Werthman Individual Corporate DirectorBoard Member Aug 1, 2020
Sara Dolan Individual Corporate DirectorBoard Member Jan 1, 2025
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 Contracted Managing EmployeeTreasurer & Cfo Jul 1, 2007
Corporate OfficerTreasurer & Cfo Jul 1, 2007
Operational/Managerial ControlChief Financial Officer Jul 1, 2007
Joseph Fleck Individual Corporate DirectorBoard Member Jan 1, 2026
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 OfficerCeo Aug 13, 2010
W-2 Managing Employee 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

Practitioners & affiliated clinicians

Practitioners 4

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": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1679501936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44405 WOODWARD AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415023",
            "telephone_number": "248-858-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MERCY HOSPITAL-SMHC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY HEALTH MICHIGAN",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "231-672-3886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "MI",
            "license": "H047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1557533",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5172026",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IP/OP SUB ABUS",
            "identifier": "20008",
            "state": "MI"
        }
    ],
    "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": [
        {
            "organization_name": "St Joseph Mercy Oakland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Joseph Mercy Oakland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.