Matrix Human Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801061559 Issued in MI

Legal business name

MATRIX HUMAN SERVICES

Practice address

18680 Hartwell St
Detroit, MI 48235-1345

Phone

(313) 341-2972

Fax

(313) 341-2972

NPI assigned

Feb 7, 2012

Last updated

Feb 7, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carol Sue Dixon, CMSW

Title

Socialworker

Phone

(313) 341-2972

Specialties & licenses 1

Addresses

Other names 1

• Family Services of Detroit and Wayne County Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1245502137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18680 HARTWELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351345",
            "telephone_number": "313-341-2972",
            "fax_number": "313-341-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18680 HARTWELL ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351345",
            "telephone_number": "313-341-2972",
            "fax_number": "313-341-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "SOCIALWORKER",
        "authorized_official_telephone_number": "313-341-2972",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801061559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Services of Detroit and Wayne County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karan Mathur, M.D.
• Tasnia Matin, MD
• Sharon Lynn Matkosky, NP
• Tamika L. Matlock, BSW, LPC
• Matrix Human Services
• Matrix Human Services
• Shawnese Danielle Matsey
• Jennifer Matson
• Shingo Matsubara, ATC
• Andrea Nikko Matsumoto

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.