MATTHEW BURYTA (NPI# 1790114098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790114098 |
| Entity Type | Individual |
| Full Name | MATTHEW BURYTA |
| Credential | M.S. |
| Practice Address |
22190 W 9 Mile Rd Southfield MI 48033-6007 |
| Mailing Address |
25015 Superior Rd Taylor MI 48180-4518 |
| Practice Telephone | 2483579465 |
| Mailing Telephone | 7343075917 |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301015119 | MI | Behavioral Health & Social Service Providers |
| Street Address |
22190 W 9 MILE RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48033-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614728 | Julia Helen Dunn | Social Worker | 22190 W 9 Mile Rd, Southfield, MI 48033-6007 | 2018-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531243 | Kenicka Harper | Case Manager/Care Coordinator | 2270 W Nine Mile Rd, Detroit, MI 48033 | 2020-06-03 |
| 1154955292 | Judy C Staples | Registered Nurse | 23800 West 10 Mile Road, Ste. 110, Southfield, MI 48033 | 2020-02-27 |
| 1578193827 | Axel Lee Gruenberg | Peer Specialist | 221790 West 9 Mile, Southfield, MI 48033 | 2020-01-24 |
| 1851958706 | William Beaumont Hospital | Clinic/Center | 26901 Beaumont Blvd., D - 5, Community Health, Southfield, MI 48033 | 2019-05-28 |
| 1396302857 | William Beaumont Hospital | Clinic/Center | Beaumont Service Center, 26901 Beaumont Blvd, Community Health, D - 5, Southfield, MI 48033 | 2019-05-21 |
| 1700442597 | Botsford General Hospital | Clinic/Center | 26901 Beaumont Blvd, Beaumont Service Center, Community Health, D - 5, Southfield, MI 48033 | 2019-05-16 |
| 1558862433 | Oakwood Accountable Care Organization, LLC | Preferred Provider Organization | 26901 Beaumont Blvd., Southfield, MI 48033 | 2018-02-26 |
| 1891228904 | Brandi Becker-wright | Social Worker | 25200 Telegraph Rd Ste 100, Southfield, MI 48033 | 2017-04-05 |
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1033534797 | Jessica Savageau | Social Worker | 22170 W 9 Mile, Southfield, MI 48033 | 2014-03-04 |
| Find all providers in zip 48033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721794 | Sara Molloy | Psychologist | 16000 W 9 Mile Rd Ste 315, Southfield, MI 48075-4835 | 2020-02-10 |
| 1487138038 | Rose Camille Cook | Psychologist | 29500 Southfield Rd Ste 204, Southfield, MI 48076-2044 | 2018-09-19 |
| 1063951671 | Palina Drake | Psychologist | 21650 W 11 Mile Rd Ste 107, Southfield, MI 48076-3715 | 2017-02-15 |
| 1285016071 | The Help Couch, LLC | Psychologist | 29623 Northwestern Hwy, Southfield, MI 48034-1076 | 2015-06-29 |
| 1457745234 | Joseph Matthew Stabrava | Psychologist | 21221 Poinciana St, Southfield, MI 48033-5043 | 2015-03-19 |
| 1528461746 | Steven Mark Portnoy | Psychologist | 19875 Butternut Ln, Southfield, MI 48076-1795 | 2014-10-01 |
| 1780988568 | Ruth Ann Hiner | Psychologist | 27136 Shagbark Dr, Southfield, MI 48076-3535 | 2011-01-07 |
| 1861637282 | Katherine A Zell | Psychologist | 22190 W. 9 Mile Rd., Southfield, MI 48334 | 2008-12-15 |
| 1245480961 | Jeffery Joseph Lusko | Psychologist | 24901 Northwestern Highway, Ste 500, Southfield, MI 48075 | 2008-09-30 |
| 1982872412 | Karen Lynn Jaffe | Psychologist | 28777 Northwestern Hwy, Suite 245d, Southfield, MI 48034-1819 | 2008-02-19 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48033 |
Please comment or provide details below to improve the information on MATTHEW BURYTA.
| 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.