MS. KRISTIN A. PHILLIPS-MATSON (NPI# 1083072722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083072722 |
Entity Type | Individual |
Full Name | MS. KRISTIN A. PHILLIPS-MATSON |
Credential | L.P.C.C. |
Practice Address |
100 W El Camino Real Suite 74b Mountain View CA 94040-2664 |
Mailing Address |
1373 Ridgewood Dr San Jose CA 95118-2937 |
Practice Telephone | 8313259168 |
Mailing Telephone | 8313259168 |
Enumeration Date | 2016-02-09 |
Last Update Date | 2016-02-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
663 | CA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
663 | CA | Behavioral Health & Social Service Providers |
N | 101YS0200X |
Counselor Specialization: School |
130139844 | CA | Behavioral Health & Social Service Providers |
N | 103K00000X | Behavioral Analyst | 663 | CA | Behavioral Health & Social Service Providers |
Street Address |
100 W EL CAMINO REAL SUITE 74B |
City | MOUNTAIN VIEW |
State | CA |
Zip Code | 94040-2664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578576716 | William S Hall | Dentist | 100 W El Camino Real, Ste 63a, Mountain View, CA 94040 | 2006-08-15 |
1780246330 | Emily Yang Tovar | Dentist | 100 W El Camino Real, Mountain View, CA 94040-2664 | 2019-07-03 |
1265971600 | Melko Dental Group | Clinic/Center | 100 W El Camino Real, Suite 74a, Mountain View, CA 94040-2664 | 2017-02-17 |
1013252972 | Lin & Huang-gao Dental, Inc. | Dentist | 100 W El Camino Real, Suite 78, Mountain View, CA 94040-2664 | 2012-12-04 |
1487902821 | Reveal Diagnostics, LLC | Radiology | 100 W El Camino Real, Suite 63b, Mountain View, CA 94040-2664 | 2012-08-15 |
1679692198 | Nita Chainani-wu | Dentist | 100 W El Camino Real, 76, Mountain View, CA 94040-2664 | 2007-03-28 |
1932226719 | Timothy Chenghsien Wu | Dentist | 100 W El Camino Real, Suite #76, Mountain View, CA 94040-2664 | 2007-03-25 |
1740315944 | Harise Caron Stein | Obstetrics & Gynecology | 100 W El Camino Real, Suite 65, Mountain View, CA 94040-2664 | 2007-02-21 |
1134269541 | Kelley R. Parke | Counselor | 100 W El Camino Real, Suite 74b, Mountain View, CA 94040-2664 | 2007-02-07 |
1134202302 | Pedram Malek | Dentist | 100 W El Camino Real, Suite # 74a, Mountain View, CA 94040-2664 | 2006-10-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246696 | Peninsula Wellness Centre | Chiropractor | 2425 Callifornia St Ste E, Mountain View, CA 94040 | 2020-05-07 |
1225669674 | Mitera Inc. | Psychiatry & Neurology | 1049 El Monte Ave Ste C #633, Mountain View, CA 94040 | 2020-02-03 |
1144862343 | Lavon Hester Bobo | Marriage & Family Therapist | 836 W. El Camino, Mountain View, CA 94040 | 2019-10-09 |
1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
1003471129 | Jennifer Langsdorf Royer | Marriage & Family Therapist | 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 | 2019-05-03 |
1255899332 | Joanna Lynn Quan | Social Worker | Palo Alto Medical Foundation, 701 E. El Camino Real, Mountain View, CA 94040 | 2019-03-07 |
1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
1861982472 | David Young Lee | Counselor | 870 E El Camino Real, Mountain View, CA 94040 | 2018-05-18 |
1740709260 | May Man Lowe | Pharmacist | 1517 Lloyd Way, Mountain View, CA 94040 | 2017-09-15 |
1134647753 | Ryan David Emery | Physical Therapist | 525 South Dr #211, Mountain View, CA 94040 | 2017-09-04 |
Find all providers in zip 94040 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538793476 | Ainhoa Indurain Torre | Counselor | 517 Thompson Ave Apt C, Mountain View, CA 94043-2702 | 2020-03-01 |
1750861522 | Kelby Katz | Counselor | 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 | 2018-08-20 |
1306222401 | Jessica Elizabeth-rose Carroll | Counselor | 11-3059 Plumeria Street, Mountain View, HI 96771-1570 | 2015-07-31 |
1184030264 | Reut Shani | Counselor | 950 High School Way, Mountain View, CA 94041-1912 | 2014-07-09 |
1790102978 | Mari Mooncook | Counselor | 1301 Brook Pl, Mountain View, CA 94040-3908 | 2014-03-25 |
1215234646 | Ed Trinidad Naranjo | Counselor | 1084 Wentworth St Apt 9, Mountain View, CA 94043-4654 | 2011-02-21 |
1407039571 | Maor Katz | Counselor | 2660 Solace Pl Ste A, Mountain View, CA 94040-4337 | 2007-12-12 |
1881747939 | Nancy Hancock Hayward | Counselor | 234 Escuela Ave, Mountain View, CA 94040-1877 | 2007-01-20 |
1922166842 | Gabriele - Hilberg | Counselor | 1669 Gretel Ln, Mountain View, CA 94040-3706 | 2006-12-04 |
1922088848 | Susan Cb Matinchek | Counselor | 113 North Peabody, Suite B, Mountain View, AR 72560 | 2006-01-18 |
Find all providers in MOUNTAIN VIEW |
City | MOUNTAIN VIEW |
Zip Code | 94040 |
Please comment or provide details below to improve the information on MS. KRISTIN A. PHILLIPS-MATSON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.