JOSEPH PORTELLI MATTHEW PORTELLI (NPI# 1720570930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720570930 |
| Entity Type | Individual |
| Full Name | JOSEPH PORTELLI MATTHEW PORTELLI |
| Practice Address |
37450 Schoolcraft Rd Ste 110 Livonia MI 48150-1000 |
| Mailing Address |
41723 Glade Rd Canton MI 48187-3773 |
| Practice Telephone | 7344584601 |
| Mailing Telephone | 7343771731 |
| Mailing Fax Number | 7343771731 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
37450 SCHOOLCRAFT RD STE 110 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48150-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902240757 | Andrea Denise Motley | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2013-04-23 |
| 1063025740 | Tyler Moreno | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-08-24 |
| 1154932440 | Toriann Lawrence | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-08-11 |
| 1164056867 | Tamia Tonie Peterson | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-03-03 |
| 1619500162 | Tishanna Maya Taylor | Case Manager/Care Coordinator | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-02-12 |
| 1902438161 | Keith Edward Graham | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-02-06 |
| 1932739109 | Erinn Vittum | Social Worker | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2020-01-16 |
| 1255978615 | Kate Althea Weinreich | Student in an Organized Health Care Education/Training Program | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-12-04 |
| 1053957530 | Megam Kardos | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-11-20 |
| 1659922714 | Monica Grace Denny | Peer Specialist | 37450 Schoolcraft Rd Ste 110, Livonia, MI 48150-1000 | 2019-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821622416 | Alex Asa Willmarth | Behavior Technician | 31557 Schoolcraft Road Suite 200, 31557 Schoolcraft Road Suite 200, Livonia, MI 48150 | 2020-02-24 |
| 1679116396 | Carly Steen | Behavior Technician | 31557 Schoolcraft Road, Suite 200, Livonia, MI 48150 | 2019-10-25 |
| 1821652355 | Katelynn Lyon | Social Worker | 37450 Schoolcraft Road, Suite 110, Livonia, MI 48150 | 2019-04-30 |
| 1821573171 | Angela Fay | Specialist | Hegira Programs, Inc., 37450 Schoolcraft, Ste. 110, Livonia, MI 48150 | 2018-10-02 |
| 1043792989 | Bethany L Hill | Pharmacist | 32131 Industrial Road, Livonia, MI 48150 | 2018-09-06 |
| 1407337835 | Teena Hutson | Counselor | 37450 Schoolcratf, Westland, MI 48150 | 2018-08-23 |
| 1053804062 | Chandana Raveendran | Speech-Language Pathologist | 35100 Ann Arbor Trl, Livonia, MI 48150 | 2018-06-13 |
| 1518459239 | Motivated Parenting, LLC | Case Management | 9906 Shadyside St, Livonia, MI 48150 | 2018-05-30 |
| 1184138471 | Shannon Anderson | Counselor | 33231 Schoolcraft Road Suite 210, Livonia, MI 48150 | 2017-11-22 |
| 1801316724 | Stephanie Levis | Social Worker | 32945 Indiana St, Livonia, MI 48150 | 2017-06-21 |
| Find all providers in zip 48150 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1104385061 | Abdulbaset M. Salim | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd # 304, Livonia, MI 48152-1003 | 2019-03-19 |
| 1134604549 | Allison Catherine Mcdonnell | Student in an Organized Health Care Education/Training Program | 36099 Brookview Dr, Livonia, MI 48152-2719 | 2018-10-02 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1477892511 | Gina Bertinette Capalbo | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 230, Livonia, MI 48152-1003 | 2013-02-09 |
| 1205151446 | Sukanya Sil | Student in an Organized Health Care Education/Training Program | 20276 Middlebelt Rd Ste 7, 7, Livonia, MI 48152-2054 | 2010-03-31 |
| 1043820228 | Akanksha Mehla | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-08-03 |
| 1780292326 | Jayesh Mittal | Student in an Organized Health Care Education/Training Program | 37595 7 Mile Rd Ste 340, Livonia, MI 48152-1003 | 2020-07-20 |
| Find all providers in LIVONIA | ||||
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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.