Patricia Butler-Matthews

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

247200000X Issued in MI

Legal business name

PATRICIA BUTLER-MATTHEWS

Practice address

18120 Snowden St
Detroit, MI 48235-1471

Phone

(313) 656-8855

NPI assigned

May 28, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Gayle Butler-Matthews

Title

ABA

Phone

(313) 656-8855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1962881532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 SNOWDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351471",
            "telephone_number": "313-656-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 SNOWDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351471",
            "telephone_number": "313-656-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BUTLER-MATTHEWS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "BUTLER-MATTHEWS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "ABA",
        "authorized_official_telephone_number": "313-656-8855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "247200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.