MR. HARVEY THEODIS MADDEN


Address: 3737 Lawton St, Detroit, MI 48208-2500
Phone: 3133616136

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3737 LAWTON ST
City DETROIT
State MI
Zip Code 48208-2500

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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
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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
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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1255412425 Danny Howard Hall II Psychologist 4646 John R St, Detroit, MI 48201-1916 2006-10-17

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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
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Competitor

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City DETROIT
Zip Code 48208

Improve Information

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Dataset Information

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.

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