RAYETTA HARTLEY (NPI# 1487083804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487083804 |
| Entity Type | Individual |
| Full Name | RAYETTA HARTLEY |
| Credential | MS, LLP |
| Practice Address |
1025 E Forest Ave Detroit MI 48207-1024 |
| Practice Telephone | 3138332851 |
| Practice Fax Number | 3138332726 |
| Mailing Telephone | 3138332851 |
| Mailing Fax Number | 3138332726 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012288 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1025 E FOREST AVE |
| City | DETROIT |
| State | MI |
| Zip Code | 48207-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114144847 | County of Wayne | Community/Behavioral Health | 1025 E Forest Ave, Building C, Detroit, MI 48207-1024 | 2007-04-20 |
| 1740891498 | Leathe Dantzler | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1098 | 2020-08-14 |
| 1790309334 | Wendy Sue Lawson | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2020-05-29 |
| 1265075253 | Ian J Moore | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-22 |
| 1124661459 | Safaa Issawi | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2019-10-18 |
| 1003321357 | Tamika L. Matlock | Counselor | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-12-08 |
| 1154830503 | Latoya Taylor | Psychologist | 1025 E Forest Ave, Bldg C Room 216, Detroit, MI 48207 | 2017-09-28 |
| 1063950715 | Ahmar Zaman | Psychologist | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2017-02-02 |
| 1043752124 | Jochebed Swilley | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-11-07 |
| 1407216468 | Ruth Smith | Social Worker | 1025 E Forest Ave, Detroit, MI 48207-1024 | 2016-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848506 | Anton R Gonzales | Physical Therapy Assistant | 2295 Chene, Detroit, Mi 48207, Detroit, MI 48207 | 2020-07-22 |
| 1033733928 | Taleshia Moss | Occupational Therapist | 2295 Chene, Detroit, MI 48207 | 2020-06-05 |
| 1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
| 1649831439 | Charday Penick | Social Worker | Team Wellness, 2925 Russell St, Detroit, MI 48207 | 2019-06-24 |
| 1568023349 | Alphia Ramona Burgess | Social Worker | Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 | 2019-06-24 |
| 1447741608 | Sherice Ward | Social Worker | 100 River Place Drive, Ste 250, Detroit, MI 48207 | 2018-05-23 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1043723737 | Olivia Carter | Case Management | 2712 Gratiot, Detroit, MI 48207 | 2017-11-16 |
| 1558885590 | Kalimah Johnson | Social Worker | 701 Mcdougall, Detroit, MI 48207 | 2017-08-01 |
| 1922534692 | Angela Young | Social Worker | 100 River Place 520, Detroit, MI 48207 | 2017-05-02 |
| Find all providers in zip 48207 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675568 | Andria Lynn Norman | Psychologist | 71 Garfield St Apt 270, Detroit, MI 48201-1907 | 2020-09-24 |
| 1639793011 | Lori Hale | Psychologist | 1071 W Lantz St, Detroit, MI 48203-5100 | 2020-06-02 |
| 1043728819 | Sami Farhat | Psychologist | 1025 E Forest Ave Bldg C, Detroit, MI 48207-1024 | 2018-01-16 |
| 1235644469 | Denise Elizabeth Wallace | Psychologist | 7310 Woodward Ave Ste 401, Detroit, MI 48202-3165 | 2017-12-11 |
| 1669843850 | Amyna Ftouni | Psychologist | 553 E Jefferson Ave, Detroit, MI 48226-4324 | 2015-10-13 |
| 1326424078 | Wendy Pandora Cody | Psychologist | 11253 Somerset Ave, Detroit, MI 48224-1128 | 2015-08-05 |
| 1629475199 | Renee Bouey | Psychologist | 18480 Lancashire St, Detroit, MI 48223-1325 | 2014-11-29 |
| 1649697343 | Shelby Wilson-drummond | Psychologist | 70 W Alexandrine St, Detroit, MI 48201-2051 | 2014-03-20 |
| 1184068975 | Shara L. Johnson | Psychologist | 19511 Greenfield Rd, Detroit, MI 48235-2016 | 2013-04-23 |
| 1649511015 | Lindsay Yeager Carr | Psychologist | 2629 Lenox St, Detroit, MI 48215-2667 | 2013-03-11 |
| Find all providers in DETROIT | ||||
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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.