HAVENWYCK HOSPITAL INC (NPI# 1053342220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053342220 |
| Entity Type | Organization |
| Organization Name | HAVENWYCK HOSPITAL INC |
| Practice Address |
1525 University Dr Auburn Hills MI 48326-2673 |
| Practice Telephone | 2483739200 |
| Practice Fax Number | 2483734113 |
| Mailing Telephone | 2483739200 |
| Mailing Fax Number | 2483734113 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-03-17 |
| Authorized Official Name | STEVE FILTON (SRVP CFO) |
| Authorized Official Telephone | 6107683300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | H-075/2006 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 170528921 | 05 | |
| MI | BLUE CROSS BLUE SHIELD OF MICHIGAN | 00106 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053841650 | Havenwyck Hospital Inc | Psychiatric Hospital | 101 W Townsend Rd, St Johns, MI 48879 | 2017-06-15 |
| Street Address |
1525 UNIVERSITY DR |
| City | AUBURN HILLS |
| State | MI |
| Zip Code | 48326-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538627997 | Nicole Bejkolli | Physician Assistant | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2019-03-05 |
| 1891248225 | Krzysztof Mlak, Md,pc | Psychiatry & Neurology | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2016-08-02 |
| 1790091833 | Janice Clein | Social Worker | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2010-08-26 |
| 1447400254 | Drs Mann PC | Psychiatry & Neurology | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2008-09-29 |
| 1962673350 | Mamoun Dabbagh, M.d., Pllc | Psychiatry & Neurology | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2008-03-13 |
| 1093862682 | Leonard Eugene Swistak | Psychologist | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295256220 | Pdn Billing, LLC. | Home Health | 3165 Oxford West, Auburn Hills, MI 48326 | 2017-06-29 |
| 1326583238 | Doreen Lang | Contractor | 2384 E Walton Blvd, Auburn Hills, MI 48326 | 2016-12-31 |
| 1205282266 | Gomaa LLC | Pharmacy | 2191 South Blvd Ste 1b, Auburn Hills, MI 48326 | 2016-05-09 |
| 1346621430 | Georjeana Dillard-parker | Social Worker | 620 Sheffield Road, Auburn Hilla, MI 48326 | 2015-06-15 |
| 1205213188 | Alison Elizabeth Lindensmith | Social Worker | 2239 E Walton Blvd, Auburn Hills, MI 48326 | 2015-04-30 |
| 1679912141 | Deborah Lynn Mckeever | Registered Nurse | 165 S. Opdyke Rd., Lot 217, Auburn Hills, MI 48326 | 2013-06-18 |
| 1790033231 | Bridget Green | Counselor | 2387 Walton Blvd, Easter Seals, Auburn Hills, MI 48326 | 2012-08-15 |
| 1205106614 | Sally S. Barbat | Psychologist | 691 N Squirrel Rd Ste 115, Auburn Hills, MI 48326 | 2012-01-03 |
| 1124315403 | Emanuela A Popa | Pharmacist | 2564 N Squirrel Rd, Ap#162, Auburn Hills, MI 48326 | 2011-07-07 |
| 1679870737 | Oakland County Community Mental Health Authority | Community/Behavioral Health | 2011 Executive Hills Blvd, Auburn Hills, MI 48326 | 2011-02-24 |
| Find all providers in zip 48326 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277814 | Lansing Senior Partners LLC | Psychiatric Hospital | 3512 Coolidge Rd, East Lansing, MI 48823-6376 | 2019-10-27 |
| 1336498013 | Genesys Hillside Behavioral Services | Psychiatric Hospital | 4396 Meadows Ave, Grand Blanc, MI 48439-8689 | 2012-09-10 |
| 1275727653 | Head To Mind Psychiatric Services Inc | Psychiatric Hospital | 19450 Argyle Cres, Detroit, MI 48203-1402 | 2007-08-29 |
| 1629108766 | Circle of Life | Psychiatric Hospital | 24080 Seneca St, Oak Park, MI 48237-3725 | 2007-03-07 |
| 1205973922 | Circle of Life Psychiatric Hospital | Psychiatric Hospital | 403 Village Green Blvd, Apt 106, Ann Arbor, MI 48105-3612 | 2007-01-31 |
| 1588672406 | T & G Corporation Inc | Psychiatric Hospital | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2006-08-04 |
| 1710918362 | Henry Ford Health System | Psychiatric Hospital | 10300 W 8 Mile Rd, Ferndale, MI 48220-2100 | 2006-07-05 |
| 1033108832 | Triangle Industries Inc | Psychiatric Hospital | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2005-10-14 |
| 1053841650 | Havenwyck Hospital Inc | Psychiatric Hospital | 101 W Townsend Rd, St Johns, MI 48879 | 2017-06-15 |
| 1154771335 | Harpa Lind Jonsdottir | Psychiatric Hospital | 300 68th St Se, Pine Rest Mental Health Services, Grand Rapids, MI 49548-6927 | 2016-06-17 |
| Find all providers with the same taxonomy | ||||
| City | AUBURN HILLS |
| Zip Code | 48326 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.