Active NPI
Margaret Hazel Dutka, MA
- Registered Nurse
- Southfield, MI
National Provider Identifier
1750383592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 6401002092
- Practice address
- 16001 W 9 Mile Rd
Dept of Behavioral Medicine
Southfield, MI 48075-4818 - Phone
- (248) 849-3000
- Fax
- (248) 849-3000
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6401002092 | MI | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Dept of Behavioral Medicine
Southfield, MI 48075-4818
Mailing address
25925 Telegraph Rd
210
Southfield, MI 48034-2518
Phone (248) 746-0342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401002092 | Other | MI | PROFESSIONAL COUNSELOR |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401002092 | MI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1750383592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25925 TELEGRAPH RD",
"address_2": "210",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480342518",
"telephone_number": "248-746-0342",
"fax_number": "248-746-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"address_2": "DEPT OF BEHAVIORAL MEDICINE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-3000",
"fax_number": "248-849-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTKA",
"first_name": "MARGARET",
"middle_name": "HAZEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "6401002092",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL COUNSELOR",
"identifier": "6401002092",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.