DR. MATTHEW JON LAURENCELLE (NPI# 1619239548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619239548 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JON LAURENCELLE |
| Credential | M.D. |
| Practice Address |
12851 Grand River Rd Brighton MI 48116-8506 |
| Practice Telephone | 8102271211 |
| Mailing Telephone | 8102271211 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301101016 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
4301101016 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
12851 GRAND RIVER RD |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48116-8506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669450599 | Claudette T Mcgoey | Dermatology | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2005-12-30 |
| 1295295129 | Joann Weinberg Drasnin | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2019-03-25 |
| 1689195232 | Susan Pearon | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-07-05 |
| 1043749534 | Stephen Phillips | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-06-08 |
| 1386172930 | Shawn Casey Eaton | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-05-26 |
| 1962949560 | David Matouka | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2017-01-21 |
| 1922451087 | Catherine Anne Keister | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2016-07-13 |
| 1417341595 | Olivia Lewandowski | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2015-03-26 |
| 1669805941 | Eric Eason | Counselor | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-09 |
| 1184056491 | Vanessa Rose Vojinov | Social Worker | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2013-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686470 | Kristen Marie Ora | Social Worker | 8548 Grand River, Brighton, MI 48116 | 2019-02-22 |
| 1861981839 | Root To Rise Pllc | Social Worker | 396 Woodlake Dr, Brighton, MI 48116 | 2018-05-06 |
| 1952852857 | Valley Medical Pharmacy LLC | Pharmacy | 320 W Grand River Ave, Brighton, MI 48116 | 2016-10-17 |
| 1619360047 | Reema S Beri | Psychologist | 10327 East Grand River Avenue, Suite 406, Brighton, MI 48116 | 2015-03-10 |
| 1669883872 | Holly Babcock | Pharmacist | 8650 W Grand River, Brighton, MI 48116 | 2014-05-12 |
| 1861803991 | Corrigan Counseling Plc | Community/Behavioral Health | 710 E. Grand River Ave, Suite 2, Brighton, MI 48116 | 2014-05-12 |
| 1760756274 | Karen Joan Bergbower | Social Worker | 10299 Grand River, Suite P, Brighton, MI 48116 | 2012-03-01 |
| 1518298843 | Adam N Rushford | Chiropractor | 10192 E Grand River, Suite 107, Brighton, MI 48116 | 2010-01-27 |
| 1548419617 | Doreen Csokasy | Psychologist | 10315 E. Grand River, Brighton, MI 48116 | 2008-09-15 |
| 1336314350 | Larry Patrick Dewulf | Dentist | 8609 W Grand River, #102-1, Brighton, MI 48116 | 2008-04-30 |
| Find all providers in zip 48116 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316590599 | Susan Patricia Brown | Psychiatry & Neurology | 13800 Brush St, Highland Park, MI 48203-3107 | 2019-07-17 |
| 1730563545 | Insync Behavioral Health Pllc | Psychiatry & Neurology | 8 N Vista, Auburn Hills, MI 48326-1417 | 2015-07-13 |
| 1942319074 | Norman S Miller Md Jd Pllc | Psychiatry & Neurology | 716 Northlawn Ave, East Lansing, MI 48823-3059 | 2006-08-30 |
| 1871525592 | Samuel Allen Mendoza | Psychiatry & Neurology | 2215 Fuller Rd Rm A793, Ann Arbor, MI 48105-2303 | 2006-07-06 |
| 1528612843 | American Trinity Psychiatry Pllc | Psychiatry & Neurology | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-07-25 |
| 1093373763 | Agnes Wrobel Psychiatry Pllc | Psychiatry & Neurology | 41400 Dequindre Rd Ste 121, Sterling Heights, MI 48314-3751 | 2019-05-29 |
| 1932459567 | Gerald A. Shiener, M.d.,p.c. | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2012-09-11 |
| 1851604821 | James Bartunek, M.d. PC | Psychiatry & Neurology | 1460 Walton Blvd, Suite 215, Rochester Hills, MI 48309-1768 | 2010-07-20 |
| 1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
| 1750606083 | Regents of The University of Michigan | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2701 | 2010-03-30 |
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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.