Matthew Cavins

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6401017565 Issued in MI

Practice address

7752 N Canton Center Rd Ste 120
Canton, MI 48187-1328

Phone

(734) 357-8328

NPI assigned

Oct 25, 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

Practice roles

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

• Personalized Nursing Light House Inc

  • Substance Abuse Rehabilitation Facility
  • Canton, MI
  • NPI 1285110767
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1851934418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7752 N CANTON CENTER RD STE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871328",
            "telephone_number": "734-357-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7752 N CANTON CENTER RD STE 120",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871328",
            "telephone_number": "734-357-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVINS",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401017565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Cash Jr., MD
• Thomas Martin Cassidy, O.D.
• Catalyst Therapy and Consultation, LLC
• Catherine McAuley Health Services
• Catherine McAuley Health Services
• Center for Healing and Happiness PC
• Center for Vein Restoration Mi PLLC
• Norman James Cepela, DDS
• Jacob Chacko, P.T.
• Samah Chamamit, DDS

• Addiction (Substance Use Disorder) Counselor in Canton, MI
• Providers in Canton, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.