NPIMap

Organization Active NPI

Edward W. Sparrow Hospital Association

Doing business as Sparrow Behavioral Health Services

  • Psychiatry Physician
  • Lansing, MI
National Provider Identifier
1811942436
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
EDWARD W. SPARROW HOSPITAL ASSOCIATION
Doing business as
Sparrow Behavioral Health Services
University of Michigan Health-Sparrow Behavioral Health
Practice address
1210 W Saginaw St
2 ND Floor
Lansing, MI 48915-1927
Phone
(517) 364-7700
Fax
(517) 364-7701
NPI assigned
May 23, 2006
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Misty Gunter Russian
Title
Supervisor, Provider Enrollment
Phone
(517) 253-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1210 W Saginaw St
2 ND Floor
Lansing, MI 48915-1927

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081
Phone (517) 364-7700

Other names 2

  • Sparrow Behavioral Health Services Doing business as
  • University of Michigan Health-Sparrow Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040102000790 MI Part B Supplier - Clinic/Group Practice 6709799166 Receives reassigned benefits from 965 practitioners
41 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI; Mason, MI; Okemos, MI; Owosso, MI; Saint Johns, MI; Williamston, MI; Carson City, MI; Charlotte, MI…

Other NPIs on the same Medicare enrollment 34

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

View all 34

National Provider Directory

National Provider Directory
Part of
Sparrow Health System

Locations (25 of 38)

1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280

1500 E Medical Center Dr
Fl 8
Ann Arbor, MI 48109
Phone (734) 763-4109

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

1090 Trowbridge Rd
East Lansing, MI 48823

138 Service Rd
Ste A108
East Lansing, MI 48824

2900 Hannah Blvd
Ste B106
East Lansing, MI 48823

4530 S Hagadorn Rd
Ste A
East Lansing, MI 48823
Phone (517) 333-8414

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

2040 Aurelius Rd
Ste 22
Holt, MI 48842
Phone (517) 244-8932

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

1140 E Michigan Ave
Ste A
Lansing, MI 48912

119 Pere Marquette Dr
Ste D
Lansing, MI 48912

1200 E Michigan Ave
Fl 1
Lansing, MI 48912

1200 E Michigan Ave
Ste 245
Lansing, MI 48912
Phone (517) 364-5710

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

1200 E Michigan Ave
Ste 445
Lansing, MI 48912
Phone (517) 364-5210

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1210 E Michigan Ave
#2
Lansing, MI 48912

1210 W Saginaw St
#2
Lansing, MI 48915

1210 W Saginaw St
Fl 12
Lansing, MI 48915

1215 E Michigan Ave
#2
Lansing, MI 48912

1215 E Michigan Ave
#5
Lansing, MI 48912

1215 E Michigan Ave
Fl W
Lansing, MI 48912

1215 E Michigan Ave
Ste 345
Lansing, MI 48912

1322 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-2157

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1811942436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081",
            "telephone_number": "517-364-7700",
            "fax_number": "517-364-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 W SAGINAW ST",
            "address_2": "2 ND FLOOR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489151927",
            "telephone_number": "517-364-7700",
            "fax_number": "517-364-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W. SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "SUPERVISOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Michigan Health-Sparrow Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.