MR. MICHAEL T MATWAY (NPI# 1598858631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598858631 |
Entity Type | Individual |
Full Name | MR. MICHAEL T MATWAY |
Credential | MA |
Practice Address |
17141 Ryan Rd Detroit MI 48212-1112 |
Mailing Address |
17791 Priscilla Dr Clinton Twp MI 48038-2190 |
Practice Telephone | 3133691717 |
Practice Fax Number | 3133691728 |
Mailing Telephone | 5862289237 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
6801011224 | MI | Behavioral Health & Social Service Providers |
Street Address |
17141 RYAN RD |
City | DETROIT |
State | MI |
Zip Code | 48212-1112 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841204641 | The Adult Psychiatric Clinic | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2006-07-28 |
1376057828 | Lori Lennon | Peer Specialist | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2017-11-20 |
1285010462 | Brandon Luke | Technician, Other | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2015-08-10 |
1952780611 | Krupa Mehta | Case Manager/Care Coordinator | 17141 Ryan Rd, Detroit, MI 48212 | 2015-05-27 |
1609275650 | Layna Johnson | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-08-15 |
1720496565 | Charles Vincent Ramsey | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-24 |
1528475902 | Alicia Scher | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-07-17 |
1952712598 | Dolores Shank | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-05-16 |
1700209913 | Claudia Jean-pierre | Counselor | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-23 |
1821410291 | Celestine Spruille | Social Worker | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-01-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689193 | Mohammed Louthfur Rahman | Nurse Practitioner | Hoover Internal Medicine Pllc, 2930 Holbrook St, Hamtramck, MI 48212 | 2020-11-03 |
1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
1013514538 | Ranim Suliman | Dentist | 9824 Conant St, Hamtramck, MI 48212 | 2020-10-07 |
1942770631 | Joann Harrison | Nurse Practitioner | 17941 St. Aubin Street, Detroit, MI 48212 | 2018-11-26 |
1134605298 | Advanced Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 9740 Conant St Ste 4, Hamtramck, MI 48212 | 2018-07-12 |
1477051530 | Detroit Green Carrot LLC | Foster Care Agency | 3829 Alpha, Detroit, MI 48212 | 2018-01-24 |
1528595451 | Mercy Prakash | Nurse Practitioner | 3120 Carpenter St. Ste 201, Adult & Pediatric Medicine Pllc, Hamtramck, MI 48212 | 2017-05-23 |
1033408935 | Hamtramck Pediatrics | Clinic/Center | 12033 Conant Road, Hamtramck, MI 48212 | 2011-03-31 |
1194051557 | Niaah Ellis | Counselor | 4812 E. Mcnichols, Detroit, MI 48212 | 2009-10-20 |
1912136797 | Latoya T Jackosn | Counselor | Sunshine Treatment In, 4821 E. Mcnichols, Detroit, MI 48212 | 2009-07-14 |
Find all providers in zip 48212 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
1386255032 | Restore Me, LLC | Counselor | 17836 Chandler Park Dr, Detroit, MI 48224-1340 | 2020-08-14 |
1396374617 | Venus D Amos | Counselor | 22725 Cambridge Ave, Detroit, MI 48219-1725 | 2020-04-07 |
1487280848 | A Safe Place Counseling and Community Support Services L3c | Counselor | 20216 Albany St, Detroit, MI 48234-2505 | 2020-03-18 |
1689211088 | Tracey Johnson | Counselor | 14010 Monica St Apt 23, Detroit, MI 48238-2565 | 2019-12-04 |
1790320331 | Faith Hope & Love Outreach Center Inc | Counselor | 18284 James Couzens Fwy., Detroit, MI 48235-2503 | 2019-11-07 |
1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
1942858550 | Ronald Royce Cochran | Counselor | 2925 Russell St, Detroit, Detroit, MI 48207 | 2019-08-27 |
1497210744 | Phoenix Interventions Pllc | Counselor | 7633 E Jefferson Ave Ste 110, Detroit, MI 48214-3730 | 2019-01-31 |
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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.