Active NPI
Matthew Alan Halbany, MA,, LMSW
- Social Worker
- Southgate, MI
National Provider Identifier
1073776472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801058906
- Practice address
- 19291 Northline Rd
Southgate, MI 48195-2220 - Phone
- (734) 287-1500
- Fax
- (734) 287-1660
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801058906 | MI | Primary |
Addresses
Primary practice location
19291 Northline Rd
Southgate, MI 48195-2220
Mailing address
19291 Northline Rd
Southgate, MI 48195-2220
Phone (734) 287-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801058906 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1073776472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19291 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952220",
"telephone_number": "734-287-1500",
"fax_number": "734-287-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19291 NORTHLINE RD",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952220",
"telephone_number": "734-287-1500",
"fax_number": "734-287-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALBANY",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MA,, LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801058906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.