Tonia Lynn Maitland

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AF250065418 Issued in MI

Practice address

12237 Marshall Rd
Montrose, MI 48457-8802

Phone

(810) 639-6386

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Labaza Eyecare, P.C.

  • Optometrist
  • Rochester, MI
  • NPI 1619184850
  NPD (past)

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356417034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12237 MARSHALL RD",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484578802",
            "telephone_number": "810-639-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12237 MARSHALL RD",
            "city": "MONTROSE",
            "state": "MI",
            "postal_code": "484578802",
            "telephone_number": "810-639-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "TONIA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF250065418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Lambert, DNP AGPCNP-C
• Larry Alton DO PC
• Ashley Lauderbaugh
• Amanda M Lawrence
• Madison Behavioral Services, LLC (Madison Behavioral Services)
• Rachel Marzluft
• Annette Marie Matthews, OTR
• Sharlyn Matthews, LPN
• Medilodge of Montrose Inc (Medilodge of Montrose)
• Meiser Adult Foster Care Home Inc

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Montrose, MI
• Providers in Montrose, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.