JASON RYDZEWSKI NPI 1689267262

NPI Information

  • NPI: 1689267262
  • Provider Name: JASON RYDZEWSKI
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 22170 W 9 MILE RD
    SOUTHFIELD, MI
    ZIP 48033
  • Phone: (248) 372-6800

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NPI Details

Jason Rydzewski is a counselor in Southfield, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jason Rydzewski NPI is 1689267262. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22170 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48033-007
Phone: (248) 372-6800

The NPI 1689267262 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/16/2021 and was last updated on 6/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNo
2171M00000XCase Manager/Care CoordinatorNo
3101Y00000XCounselor6401223777MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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