WILLIE J MATTHIAS (NPI# 1093019861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093019861 |
| Entity Type | Individual |
| Full Name | WILLIE J MATTHIAS |
| Credential | CASAC |
| Practice Address |
116 John St New York NY 10038-3300 |
| Practice Telephone | 2129640128 |
| Practice Fax Number | 2129640112 |
| Mailing Telephone | 2129640128 |
| Mailing Fax Number | 2129640112 |
| Enumeration Date | 2011-01-07 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17858 | NY | Behavioral Health & Social Service Providers |
| Street Address |
116 JOHN ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10038-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475632 | Anthony Cox | Social Worker | 116 John St, 27th Floor, New York, NY 10038-3300 | 2006-08-18 |
| 1548552151 | Dawn B Harris | Counselor | 116 John St, 27th Floor, New York, NY 10038-3300 | 2011-05-15 |
| 1508158254 | Keith A Ritchie | Counselor | 116 John St, 27th Floor, New York, NY 10038-3300 | 2011-05-12 |
| 1659662344 | Nancy E Hastings | Counselor | 116 John St, 27th Flr, New York, NY 10038-3300 | 2011-04-28 |
| 1306143995 | Phillip Andre Williams | Counselor | 116 John St, New York, NY 10038-3300 | 2011-02-17 |
| 1578869269 | Gloria J Brunson | Counselor | 116 John St, New York, NY 10038-3300 | 2011-01-28 |
| 1154625143 | Donna M Raiford | Counselor | 116 John St, 27 Th Floor, New York, NY 10038-3300 | 2011-01-05 |
| 1841594454 | Sara Hisler | Registered Nurse | 116 John St, New York, NY 10038-3300 | 2010-12-23 |
| 1902108939 | Samuel G Jamison | Counselor | 116 John St, New York, NY 10038-3300 | 2010-11-24 |
| 1679873020 | Ray V. Facey | Counselor | 116 John St, 27 Th Fl, New York, NY 10038-3300 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093353575 | Jacqueline Michelle Collins | Speech-Language Pathologist | 144-176 E 128th Street, New York, NY 10038 | 2019-12-16 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1407412802 | Corner Chemists Pharmacy LLC | Pharmacy | 11 Henry Street, New York, NY 10038 | 2019-05-13 |
| 1235603374 | Chuan Jing Mou | Acupuncturist | 7-8 Chatham Square #805, New York, NY 10038 | 2019-01-11 |
| 1023531654 | Natalie Considine | Counselor | 75 Maiden Ln Ste 341, New York, NY 10038 | 2017-07-25 |
| 1801319199 | Cecile Bell | Registered Nurse | 15 St James Place, Apt 10 I, New York, NY 10038 | 2017-07-19 |
| 1598206088 | Jessica Moreno | Registered Nurse | 182 South Street Apt 8e, New York, NY 10038 | 2017-03-16 |
| 1801258678 | Disha Vin | Physical Therapist | 160 Broadway East Building, New York, NY 10038 | 2016-03-22 |
| 1861877110 | Andrew Zhu | Physician Assistant | 70 William Street, New York, NY 10038 | 2015-07-29 |
| 1467848770 | Bryan Andrew Roller | Anesthesiology | Columbia University Medical Center - Dept of Anesthesia, 622 West 168th Street, New York, NY 10038 | 2015-04-13 |
| Find all providers in zip 10038 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1942814595 | Anthony Mitchell Jr. | Counselor | 1090 Saint Nicholas Ave Frnt A, New York, NY 10032-3809 | 2020-09-01 |
| 1811517188 | Legacy House Inc | Counselor | 200 W 131st St Apt 10c, New York, NY 10027-2041 | 2020-04-16 |
| 1427695022 | Samuel Underwood | Counselor | 1727 Amsterdam Ave Fl 3, New York, NY 10031-4611 | 2019-12-03 |
| 1851954135 | Rebecca Forer | Counselor | 316 E 88th St Fl 3, New York, NY 10128-4909 | 2019-04-22 |
| 1043775380 | Jennisel A Marte | Counselor | 174 Nagle Ave Apt 31, New York, NY 10034-6039 | 2019-01-31 |
| 1215401195 | Anika Nakia Carter | Counselor | 192 Bradhurst Ave Apt 11, New York, NY 10039-1408 | 2019-01-14 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| 1760958110 | Oren Mayo | Counselor | 116 E 92nd St Bsmt, New York, NY 10128-1620 | 2018-10-23 |
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| 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.