DR. TERRENCE M MATTEO (NPI# 1205988474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205988474 |
| Entity Type | Individual |
| Full Name | DR. TERRENCE M MATTEO |
| Credential | PH.D. |
| Practice Address |
10616 S 43rd St Phoenix AZ 85044-1305 |
| Practice Telephone | 4803824142 |
| Mailing Telephone | 4803824142 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2014-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
AZ3877 | AZ | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
3877 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 211835 | 05 |
| Street Address |
10616 S 43RD ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-1305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
| 1942221858 | Sean Conway Mcdevitt | Psychologist | 7330 North 16th Street, A120, Phoenix, AZ 85020 | 2006-07-23 |
| 1063023836 | Daniel Wechsler | Psychologist | 2225 N 16th St, Phoenix, AZ 85006-1823 | 2020-08-13 |
| 1679039689 | Youth World Education Project, Inc | Psychologist | 9617 N Metro Pkwy W, Phoenix, AZ 85051-1400 | 2019-02-14 |
| 1053805325 | Nicole Burt | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2018-06-19 |
| 1831459650 | Gina De Simone | Psychologist | 7330 N 16th St, Suite C200, Phoenix, AZ 85020-5237 | 2012-05-26 |
| 1811257264 | Lisa Elder Outhier | Psychologist | 7330 N 16th St, C-200, Phoenix, AZ 85020-5237 | 2012-05-19 |
| 1053692046 | Christina Whalen | Psychologist | 300 N 18th St, Phoenix, AZ 85006-4103 | 2011-09-02 |
| 1508167560 | Jennifer Anne Gray | Psychologist | 124 W Thomas Rd, Phoenix, AZ 85013-4405 | 2010-11-08 |
| Find all providers in PHOENIX | ||||
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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.