Organization
ST JOSEPH MERCY HOSPITAL
Active
Organization
ST JOSEPH MERCY HOSPITAL
Active
Other names
ST Joseph Mercy Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANA GRACE RAYMOND (MANAGER PROVIDER ENROLLMENT)
(734) 343-1466
Entity
Organization
Contact information
Practice address
5333 MCAULEY DR RM 2010, YPSILANTI, MI 48197-1095
(734) 712-3456
Mailing address
20555 VICTOR PKWY, LIVONIA, MI 48152-7031
(734) 343-1000
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260H161690
BS BCN BEH SVCS
MI
Enumeration date
03/27/2007
Last updated
05/05/2026
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