Matthew Waddell Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MATTHEW WADDELL CONSULTING LLC

Practice address

103 E Liberty St Ste 203
Ann Arbor, MI 48104-2136

Phone

(734) 210-1187

NPI assigned

Mar 24, 2020

Organization subpart

No

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

Authorized official

Name

Matthew Waddell, LMSWNPI 1083966683

Title

Owner

Phone

(734) 210-1187

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Paul Waddell, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1083966683
  NPD Authorized official

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1427685148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 KINGWOOD ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972008",
            "telephone_number": "810-410-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E LIBERTY ST STE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042136",
            "telephone_number": "734-210-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW WADDELL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-210-1187",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie J Matos, CNM
• Jill Ann Matson, CPNP
• Aladdein Fathy Mattar, MD
• Matthew Bouse Therapy, LLC
• Matthew Bruce DO PLLC
• Lindsay Lauren Matthews-Naumann, MSW
• Catherine L. Matthews, RN
• Heather Matthews
• Kathleen A Matthews, PHARMD
• Natalie Hui Matthews, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.