DOLORES MATTOX (NPI# 1790976116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790976116 |
| Entity Type | Individual |
| Full Name | DOLORES MATTOX |
| Credential | RN |
| Practice Address |
24424 W Mcnichols Rd Detroit MI 48219-3653 |
| Mailing Address |
24080 Seneca St Oak Park MI 48237-3725 |
| Practice Telephone | 3135312500 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704125356 | MI | Nursing Service Providers |
| Street Address |
24424 W MCNICHOLS RD |
| City | DETROIT |
| State | MI |
| Zip Code | 48219-3653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326135047 | Development Centers, Inc. | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219 | 2006-10-06 |
| 1083229249 | Catrina Tookes | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1770198970 | Wanda Mitchell | Voluntary or Charitable | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-09-14 |
| 1295351161 | Anna Marie Mier | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-06-17 |
| 1275165797 | Tenna Ramona Harris | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2020-02-12 |
| 1780232835 | Jamie Lee Ann Douglas | Psychologist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-09-02 |
| 1306491824 | Stacy Lynette Saylor | Social Worker | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-08-02 |
| 1821561960 | Henry Lee Hampton | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2019-01-10 |
| 1982174710 | Claude Ray Winton II | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-12-05 |
| 1164904009 | Sarah Mcintire | Peer Specialist | 24424 W Mcnichols Rd, Detroit, MI 48219-3653 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396008 | Betty Jean Fairchild-el | Home Health Aide | 20018 Norhtrop, Detroit, MI 48219 | 2020-11-04 |
| 1134787633 | Behavioral Health Professionals, Inc | Family Medicine | 19750 Burt Road, Detroit, MI 48219 | 2019-05-31 |
| 1255997755 | Shvaughn Laniece Nunley | Social Worker | 18422 W Mcnichols Rd, Detroit, MI 48219 | 2019-05-10 |
| 1770081168 | D & D Enterprise Group LLC | Durable Medical Equipment & Medical Supplies | 17405 Lahser, 202, Detroit, MI 48219 | 2018-01-31 |
| 1972011369 | Fibers of The Family LLC | Home Health | 16800 Edinborough Rd, Detroit, MI 48219 | 2018-01-19 |
| 1871049684 | Monique Jackson | Occupational Therapist | 21630 Jessel Ave, Detroit, MI 48219 | 2016-08-31 |
| 1114379773 | Audrey Hopkins | Licensed Practical Nurse | 20277 Redfren, Detroit, MI 48219 | 2016-07-07 |
| 1649628785 | Erin Bianco | Social Worker | 17321 Telegraph Rd., Detroit, MI 48219 | 2016-05-31 |
| 1144674664 | Lucinda Galmon-wallace | Technician, Other | 24424 Telegraph Road, Detroit, MI 48219 | 2016-04-21 |
| 1598120925 | Faith's Place LLC | Psychiatric Residential Treatment Facility | 16725 Blackstone Street, Detroit, MI 48219 | 2015-12-30 |
| Find all providers in zip 48219 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194050005 | William Adam Beluzo IIi | Registered Nurse | 10001 Puritan St, Detroit, MI 48238-1056 | 2009-10-09 |
| 1831311976 | Cynthia Ruth Saxton | Registered Nurse | 406 Eastlawn St, Detroit, MI 48215-3031 | 2007-05-02 |
| 1508473463 | Aarin-earl Pesko-morales | Registered Nurse | 10 Peterboro St, Detroit, MI 48201-2722 | 2020-09-24 |
| 1508482449 | Rhonda Gardner | Registered Nurse | 3646 Mount Elliott St, Detroit, MI 48207-2311 | 2020-06-16 |
| 1417587080 | Cynethia Collins | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2020-01-22 |
| 1609369396 | Rebecca Leigh Pinter | Registered Nurse | 1221 E Grand Blvd, Detroit, MI 48211-3428 | 2018-06-07 |
| 1467989053 | Dennis Wayne Simpson | Registered Nurse | 12800 E Warren Ave, Detroit, MI 48215-2061 | 2017-05-15 |
| 1821478587 | Reta Vanhooks | Registered Nurse | 8600 Woodward Ave, Detroit, MI 48202-2142 | 2015-06-08 |
| 1104234913 | Margaret Easley | Registered Nurse | 2939 Russell St, Detroit, MI 48207-4825 | 2014-07-24 |
| 1952712598 | Dolores Shank | Registered Nurse | 17141 Ryan Rd, Detroit, MI 48212-1112 | 2014-05-16 |
| Find all providers in DETROIT | ||||
Please comment or provide details below to improve the information on DOLORES MATTOX.
| 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.