SANDRA D MATTIA (NPI# 1073552790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552790 |
| Entity Type | Individual |
| Full Name | SANDRA D MATTIA |
| Credential | LMSW |
| Practice Address |
30701 Woodward Ave Royal Oak MI 48073-0987 |
| Mailing Address |
604 Sylvanwood Dr Troy MI 48085-3126 |
| Practice Telephone | 2482889333 |
| Practice Fax Number | 2482881362 |
| Mailing Telephone | 2488284306 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801066583 | MI | Behavioral Health & Social Service Providers |
| Street Address |
30701 WOODWARD AVE |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-0987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057270 | Vincent J Granowicz | Family Medicine | 30701 Woodward Ave, Suite 314, Royal Oak, MI 48073-0987 | 2005-10-17 |
| 1912511452 | Corrie Lynn Williamson | Nurse Practitioner | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2020-09-02 |
| 1811456734 | Brenda Basel Brikho | Counselor | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2019-03-19 |
| 1518433895 | Keith Mosa-basha | Social Worker | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2018-10-15 |
| 1699128389 | Andrew Smith | Social Worker | 30701 Woodward Ave, Suite 200, Royal Oak, MI 48073-0987 | 2016-07-18 |
| 1902253354 | Victoria Cuadrio | Counselor | 30701 Woodward Ave, 200, Royal Oak, MI 48073-0987 | 2016-05-16 |
| 1124424874 | Deianira C Leach | Counselor | 30701 Woodward Ave, Ste 200, Royal Oak, MI 48073-0987 | 2014-11-07 |
| 1154724474 | Alisha Kristine Whitney | Social Worker | 30701 Woodward Ave, Suite #n200, Royal Oak, MI 48073-0987 | 2014-10-01 |
| 1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
| 1972920536 | Nabil Zafer Al-hourani | Internal Medicine | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315600 | Fatin Dubaybo | Counselor | 3015 W 13 Mile Rd Apt 405, Royal Oak, MI 48073-2977 | 2020-08-06 |
| 1790325785 | Mind Wellness Counseling | Counselor | 25600 Woodward Ave Ste 200, Royal Oak, MI 48067-0945 | 2020-01-08 |
| 1669034112 | Therapy Uncensored LLC | Counselor | 418 N Main St Ste 252, Royal Oak, MI 48067-1813 | 2019-07-05 |
| 1245794858 | Florine Mcclain | Counselor | 25600 Woodward Ave Ste 104, Royal Oak, MI 48067-0944 | 2019-01-28 |
| 1285172338 | Shannon Rene Abbott | Counselor | 2515 Normandy Rd Apt 2, Royal Oak, MI 48073-1840 | 2017-02-09 |
| 1003359530 | Donya Sorensen | Counselor | 1612 N Altadena Ave, Royal Oak, MI 48067-3670 | 2016-12-01 |
| 1801241732 | Sharon Mullins | Counselor | 104 W 4th St Ste 306, Royal Oak, MI 48067-3819 | 2016-04-28 |
| 1225492010 | Marie Murray | Counselor | 1222 S Washington Ave, Royal Oak, MI 48067-3222 | 2016-04-08 |
| 1205177847 | Laura Cristiana Domasneanu-miulescu | Counselor | 707 E 4th St, Royal Oak, MI 48067-2803 | 2013-03-06 |
| 1417243767 | Lynn Marie Jacobs | Counselor | 618 E 11 Mile Rd, Royal Oak, MI 48067-1962 | 2011-06-24 |
| Find all providers in ROYAL OAK | ||||
Please comment or provide details below to improve the information on SANDRA D MATTIA.
| 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.