Matthew Rushlau Edd, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010494 Issued in MI

Legal business name

MATTHEW RUSHLAU EDD, LLC

Practice address

4031 W Main St Ste 400
Kalamazoo, MI 49006-3730

Phone

(269) 567-4202

Fax

(269) 344-8696

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Rushlau, EDDNPI 1548385792

Title

Owner

Phone

(269) 567-5912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Matthew G Rushlau, ED.D.

  • Psychologist
  • Kalamazoo, MI
  • NPI 1548385792
  Medicare reassignment NPD Authorized official
• Colleen Ann Thebert-Wright, PH.D

  • Counseling Psychologist
  • Kalamazoo, MI
  • NPI 1770781866
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1982898292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 W MAIN ST STE 100",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063706",
            "telephone_number": "269-384-6055",
            "fax_number": "269-384-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W MAIN ST STE 400",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063730",
            "telephone_number": "269-567-4202",
            "fax_number": "269-344-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW RUSHLAU EDD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "RUSHLAU",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-567-5912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "680C912030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard Mattano, M.D.
• Mattawan Dental, PLC, Dba Texas Corners Dental
• Mattawan Dental, PLC, Dba Texas Corners Dental
• Lindsy Lee Matteoni-Losiewski, LPC
• Janese Lynn Mattern
• Elizabeth Matthews
• Le'la-Joy Aleane Matthews
• Michael S Mattia, MD
• Susan G Mattice, LPC
• Tsana Nitowaukia Mattice, AGACNP-BC

• Psychologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.