Matthew R Cuellar

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

C460589755437 Issued in MI

Practice address

3111 Electric Ave
Port Huron, MI 48060-8127

Phone

(810) 985-8900

NPI assigned

Oct 29, 2019

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1780228205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 COMSTOCK RD",
            "city": "GRANT TOWNSHIP",
            "state": "MI",
            "postal_code": "480322014",
            "telephone_number": "810-990-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 ELECTRIC AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480608127",
            "telephone_number": "810-985-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUELLAR",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MI",
            "license": "C460589755437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Crosby
• Crossroads Solutions
• Crossroads Solutions
• Mary E Croteau, R.N.,B.S.N.
• Cristy Sue Cubitt, M.A., LLPC
• Shelli Renee Cullimore
• Lauren Frances Culp
• Kristine Curtis
• Emily Anne Custer
• Joy Daggett

• Day Training/Habilitation Specialist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Day Training/Habilitation Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.