NATHAN HAYRYNEN (NPI# 1881176089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881176089 |
Entity Type | Individual |
Full Name | NATHAN HAYRYNEN |
Practice Address |
13101 Allen Rd Southgate MI 48195-2216 |
Mailing Address |
31120 Wildwood St Apt 5304 Wixom MI 48393-2624 |
Practice Telephone | 7347857700 |
Mailing Telephone | 5175120705 |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
6301016836 | MI | Behavioral Health & Social Service Providers |
Street Address |
13101 ALLEN RD |
City | SOUTHGATE |
State | MI |
Zip Code | 48195-2216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801835004 | Lisa K Filary | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2006-06-05 |
1821696477 | Michelle Mary Wilson | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-10-15 |
1851908214 | Amanda Renae Meyers | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-29 |
1811504558 | Auburn Elswick | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-27 |
1740895341 | Katelyn Marie Yaczik | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-09-10 |
1780295352 | Lilliana Kesseler | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-08-16 |
1093331290 | Hannah Langlois | Student in an Organized Health Care Education/Training Program | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-06-23 |
1790306835 | Heather Lynn Sandoval | Counselor | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-04-29 |
1609404292 | Amber R Bussell | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-30 |
1093340077 | Erica R Davis | Social Worker | 13101 Allen Rd, Southgate, MI 48195-2216 | 2020-03-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
Find all providers in zip 48195 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417388224 | Gwendolyn Hooks | Psychologist | 19401 Northline Rd Bldg 5, Southgate, MI 48195-2277 | 2013-12-04 |
1356557433 | Jason Hamel | Psychologist | 19401 Northline Rd, Southgate, MI 48195-2277 | 2007-05-15 |
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1780154435 | Erica Griffis Prime | Psychologist | 28066 Sunset Blvd W, Lathrup Village, MI 48076-2658 | 2018-11-26 |
1932600772 | Grand Blanc Psychology Pllc | Psychologist | 8382 Holly Rd Ste 1, Grand Blanc, MI 48439-1972 | 2018-02-27 |
1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
1720529779 | Dannison | Psychologist | 604 S Rose St, Kalamazoo, MI 49007 | 2017-03-10 |
1912356254 | Maurice Moses Jr. | Psychologist | 541 Walbridge Dr, East Lansing, MI 48823-2039 | 2016-06-07 |
1538531017 | Life Journey Pllc | Psychologist | 2013 East Castle Drive Sw, Suite B, Grand Rapids, MI 49508 | 2015-10-23 |
1548654148 | Darya Owens | Psychologist | 1235 Saint Clair St, Detroit, MI 48214-3671 | 2015-03-23 |
1538582671 | Laura Ann Wyglinski, Ph. D. | Psychologist | 4675 Okemos Rd, Okemos, MI 48864-1974 | 2014-01-25 |
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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.