MR. HARVEY THEODIS MADDEN (NPI# 1255541926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255541926 |
Entity Type | Individual |
Full Name | MR. HARVEY THEODIS MADDEN |
Credential | L.L.M.S.W |
Practice Address |
3737 Lawton St Detroit MI 48208-2500 |
Mailing Address |
9549 Memorial St Detroit MI 48227-1011 |
Practice Telephone | 3133616136 |
Practice Fax Number | 3133616211 |
Mailing Telephone | 3139171283 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2009-10-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
6801087865 | MI | Behavioral Health & Social Service Providers |
Street Address |
3737 LAWTON ST |
City | DETROIT |
State | MI |
Zip Code | 48208-2500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811094998 | Salvation Army-harbor Light | Respite Care | 3737 Lawton St, Detroit, MI 48208-2500 | 2006-09-20 |
1225692619 | Salvation Army Harbor Light | Respite Care | 3737 Lawton St, Detroit, MI 48208-2500 | 2019-05-01 |
1487160164 | Tommy Ray Terrell I | Counselor | 3737 Lawton St, Detroit, MI 48208-2500 | 2017-12-18 |
1811447436 | Katrina Gail Watkins | Counselor | 3737 Lawton St, Detroit, MI 48208-2500 | 2016-10-06 |
1336698950 | Edwin Kurlfink | Counselor | 3737 Lawton St, Salvation Army Harbor Light, Detroit, MI 48208-2500 | 2016-09-23 |
1730587205 | Felicia Anderson | Substance Abuse Rehabilitation Facility | 3737 Lawton St, Detroit, MI 48208-2500 | 2014-12-15 |
1508272741 | Baiyina Peruzzi | Counselor | 3737 Lawton St, Detroit, MI 48208-2500 | 2014-07-09 |
1144634254 | Salvation Army | Substance Abuse Rehabilitation Facility | 3737 Lawton St, Detroit, MI 48208-2500 | 2014-06-17 |
1609287655 | The Salvation Army | Substance Abuse Rehabilitation Facility | 3737 Lawton St, Detroit, MI 48208-2500 | 2014-05-13 |
1821408105 | Joyce Savage | Counselor | 3737 Lawton St, Detroit, MI 48208-2500 | 2014-05-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616554 | Henry Ford Health System | Pharmacy | 2800 W Grand Blvd, Detroit, MI 48208 | 2020-10-16 |
1932645405 | Diane Louise Dodson | Counselor | 5500 Trumbull Apt 315, Detroit, MI 48208 | 2017-01-09 |
1164881306 | Cory Eugene Martin | Counselor | 1852 W. Grand Blvd., Detroit, MI 48208 | 2016-02-16 |
1578947784 | Hamza Belhaj | Dentist | 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2015-07-17 |
1942629167 | Diana Pool | Counselor | 3737 Lawton, Detroit, MI 48208 | 2014-04-15 |
1124467048 | Aisha Williams | Social Worker | 4707 Vinewood St., Detroit, MI 48208 | 2013-06-25 |
1295079895 | Mia Love | Nurse Practitioner | 2959 Martin Luther King Jr Blvd, Detroit, MI 48208 | 2012-11-20 |
1992064356 | Valarie Egeria Foulks | Counselor | 2051 W. Grand Blvd, Detroit, MI 48208 | 2012-05-04 |
1023304078 | Ayana Njeri Davis | Massage Therapist | 2550 W. Grand Blvd, Detroit, MI 48208 | 2011-06-28 |
1184922627 | Shar Inc. | Community Based Residential Treatment Facility, Mental Illness | 1852 W.grand Blvd, Detroit, MI 48208 | 2011-03-08 |
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Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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1790145548 | Cecil Cosey IIi | Psychologist | 11000 W Micnichols, Detroit, MI 48238 | 2016-03-07 |
1073810644 | Kim Logan Communications Clinic Inc | Psychologist | 3011 W Grand Blvd, Suite 423, Detroit, MI 48202-3096 | 2011-02-17 |
1518150549 | Dennis Clare Crawford | Psychologist | 10 Peterboro St, Detroit, MI 48201-2722 | 2007-08-22 |
1295886042 | Sara Helene Rizzo | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2007-01-16 |
1255412425 | Danny Howard Hall II | Psychologist | 4646 John R St, Detroit, MI 48201-1916 | 2006-10-17 |
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1861031189 | Christina M Kaplan, Pllc | Psychologist | 39520 Woodward Ave Ste 201, Bloomfield Hills, MI 48304-5057 | 2020-01-03 |
1184273716 | Drbrandi | Psychologist | 16250 Northland Dr Ste 240, Southfield, MI 48075-5227 | 2019-09-06 |
1508202920 | Abaris Health | Psychologist | 2501 Rochester Ct, Troy, MI 48083-1875 | 2013-05-13 |
1861748238 | Pro Med Substance Abuse Program LLC | Psychologist | 2891 E. Maple Rd. Suite 200, Troy, MI 48083 | 2012-08-03 |
1003161282 | Michael George Brock | Psychologist | 2514 Biddle Avenue, Wyandotte, MI 48192 | 2012-07-13 |
1972860005 | Samaritas | Psychologist | 128 S Cochran Ave, Charlotte, MI 48813-1510 | 2012-04-13 |
1619254042 | Kathryn Bartz | Psychologist | 500 Barfield Dr., Hastings, MI 49058-9018 | 2011-11-14 |
1609100627 | Laytoya Chevette Lambeth | Psychologist | 51255 Luke Ln, Novi, MI 48374-1004 | 2009-09-23 |
1902059868 | Michele Alaine Pischea | Psychologist | 1231 East Michigan Ave., Suite 201, East Lansing, MI 48823 | 2008-10-23 |
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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.