NPIMap

Organization Active NPI

Medical Behavioral Hospital of Michigan

Doing business as Kalamazoo Behavioral Health Hospital

  • Psychiatric Hospital
  • Kalamazoo, MI
National Provider Identifier
1821716770
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
MEDICAL BEHAVIORAL HOSPITAL OF MICHIGAN
Doing business as
Kalamazoo Behavioral Health Hospital
Practice address
5802 S 9TH St
Kalamazoo, MI 49009-9603
Phone
(574) 277-2630
NPI assigned
Aug 17, 2022
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Authorized official

Name
Mr. James Burroughs
Title
Ceo
Phone
(574) 315-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

5802 S 9TH St
Kalamazoo, MI 49009-9603

Mailing address

112 W Jefferson Blvd Ste 600
South Bend, IN 46601-1921
Phone (574) 277-2630

Other identifiers 1

IdentifierTypeStateIssuer
1821716770MedicaidMI

Other names 1

  • Kalamazoo Behavioral Health Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240905002094 MI Part A Provider - Hospital 7810437852 Practice locations: Kalamazoo, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821716770. Details of each certification follow.

Hospital certification: CCN 234047

Legal name
MEDICAL BEHAVIORAL HOSPITAL OF MICHIGAN
Doing business as
KALAMAZOO BEHAVIORAL HEALTH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Apr 8, 2025
Last certification
Apr 8, 2025
Beds
31
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
5802 S 9TH St
Kalamazoo, MI 49009-9603
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Kalamazoo Behavioral Health HospitalCCN 234047 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2302227Kalamazoo Behavioral Health Hospital5802 S 9TH Street, Kalamazoo, MI 49009Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christy a Keltner Individual Corporate DirectorCorporate Director Apr 29, 2024
Theodore Paarlberg Individual Corporate OfficerCeo Jan 1, 2024 100%
Physician¿S Management Employee Leasing Company, LLC Organization, South Bend, IN Chain home office Operational/Managerial Control Jan 1, 2015 100%
Srboljub Nikolic Individual Corporate OfficerCfo Jan 1, 2015 100%
Operational/Managerial ControlCfo Jan 1, 2015 100%
Neuropychiatric Hospitals LLC Organization, South Bend, IN LLC 5% Or Greater Direct Ownership Interest Jan 1, 2019 100%

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1821716770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W JEFFERSON BLVD STE 600",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011921",
            "telephone_number": "574-277-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 S 9TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099603",
            "telephone_number": "574-277-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL BEHAVIORAL HOSPITAL OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "BURROUGHS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "574-315-4610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821716770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.