MR. MATTHEW SHANE OWENS (NPI# 1497883979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497883979 |
Entity Type | Individual |
Full Name | MR. MATTHEW SHANE OWENS |
Credential | M.A. |
Practice Address |
19705 Vine Dr Macomb MI 48044-6518 |
Practice Telephone | 5869480228 |
Practice Fax Number | 5869480213 |
Mailing Telephone | 5869480228 |
Mailing Fax Number | 5869480213 |
Enumeration Date | 2007-02-28 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 6301011431 | MI | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275141921 | Matthew Owens | Behavior Technician | 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 | 2020-07-20 |
1053843821 | Matthew Owens | Physical Therapist | 1003 Mill Pond Dr, Suite C, Greencastle, IN 46135-2608 | 2017-03-31 |
1700169216 | Matthew Scott Owens | Pharmacist | 472 S Enota Dr Ne, Gainesville, GA 30501-2548 | 2011-09-21 |
1417239419 | Matthew Stuart Owens | Case Manager/Care Coordinator | 1555 Humboldt St, Denver, CO 80218-1614 | 2011-09-15 |
1306157649 | Matthew Mckinney Owens | Pharmacist | 119 Forks of The River Pkwy, Sevierville, TN 37862-3435 | 2010-07-01 |
1033366448 | Matthew Steven Owens | Optometrist | 460 E Nine Mile Rd, Pensacola, FL 32514-1441 | 2008-08-27 |
1629296298 | Matthew Thomas Owens | Physical Medicine & Rehabilitation | 770 W High St, Suite 160b, Lima, OH 45801-3990 | 2007-04-21 |
1255432472 | Matthew Owens | Physical Therapist | 1108 N Main St, Cedartown, GA 30125-2039 | 2006-09-26 |
1427020205 | Matthew Peter Owens | Family Medicine | 1010 W 1st St, Redfield, SD 57469-1506 | 2006-02-06 |
Street Address |
19705 VINE DR |
City | MACOMB |
State | MI |
Zip Code | 48044-6518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
Find all providers in zip 48044 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871634907 | Linda Marie Audia | Community/Behavioral Health | 22376 Sandalwood Dr, Macomb, MI 48044-3072 | 2007-02-10 |
1669823894 | Radiant Counseling Services, Pllc | Community/Behavioral Health | 15869 Spur Dr, Macomb, MI 48042-2214 | 2016-06-29 |
1487806436 | Western Illinois University | Community/Behavioral Health | 1 University Cir, Macomb, IL 61455-1367 | 2008-10-21 |
1982827499 | Bridgeway, Inc | Community/Behavioral Health | 900 S Deer Rd, Macomb, IL 61455-2639 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336394 | Kcs Community Services Inc | Community/Behavioral Health | 16577 Muirland St, Detroit, MI 48221-3012 | 2020-11-04 |
1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
1720688617 | Mjw Counseling Services | Community/Behavioral Health | 564 Marcia St Sw, Wyoming, MI 49509-4013 | 2020-10-29 |
1174122345 | Allison Johnston Lpc | Community/Behavioral Health | 51500 Birch St. Suite C, New Baltimore, MI 48047 | 2020-10-20 |
1003414632 | Res-care Premier, Inc. | Community/Behavioral Health | 209 Kings Ln, Battle Creek, MI 49014-7832 | 2020-10-15 |
1104423508 | Cherry Street Services Inc | Community/Behavioral Health | 100 Wexford St Se Rm 214, Wyoming, MI 49548-2212 | 2020-10-08 |
1447857156 | Lauren Elizabeth Thayer | Community/Behavioral Health | 3257 City View Ct, Hudsonville, MI 49426-9013 | 2020-10-06 |
1093312613 | Guarding Therapy & Counseling Services, Pllc | Community/Behavioral Health | 26847 Grand River Ave Ste 24, Redford, MI 48240-1544 | 2020-10-06 |
1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
1013524032 | I Need A Moment, LLC | Community/Behavioral Health | 20411 Alhambra St, Southfield, MI 48076-5422 | 2020-09-24 |
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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.