MRS. SUSIE MATTOS (NPI# 1316140676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316140676 |
| Entity Type | Individual |
| Full Name | MRS. SUSIE MATTOS |
| Practice Address |
4170 Redding St Oakland CA 94619-1920 |
| Practice Telephone | 4153945247 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4170 REDDING ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94619-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306365390 | Jon Gerard Murphy | Registered Nurse | Merritt College Student Health Services, 12500 Campus Drive, Oakland, CA 94619 | 2017-09-12 |
| 1992161947 | Virginia Stout Downing | Dental Hygienist | 5707 Redwood Road, #19, Oakland, CA 94619 | 2016-01-06 |
| 1770900045 | Amy Klapper | Counselor | 4452 Davenport Aven, Oakland, CA 94619 | 2014-03-25 |
| 1922395797 | Lawrence W Bryer | Psychiatry & Neurology | 5131 Parkridge Dr, Oakland, CA 94619 | 2011-06-30 |
| 1255403168 | Michelle Denise Hooker | Social Worker | 2369 84th Avenue, Oakland, CA 94619 | 2006-11-15 |
| 1447338512 | William H. Birdsong Iv | Emergency Medicine | 661 Via Rialto, Oakland, CA 94619 | 2006-11-02 |
| 1861570814 | Zell Nathanson | Speech-Language Pathologist | 5424 Fernhoff Rd, Oakland, CA 94619 | 2006-11-01 |
| 1902439623 | Miranda Claggette | Counselor | 3906 Loma Vista Ave, Oakland, CA 94619 | 2020-02-20 |
| 1518443282 | Gabriela Ivanna Vargas | Counselor | 3695 High St, Oakland, CA 94619 | 2018-07-16 |
| 1275130148 | Remi Drew | Massage Therapist | 3630 Penniman Ave, Oakland, CA 94619-1116 | 2020-10-05 |
| Find all providers in zip 94619 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099832 | Marlena Sara Hartman-filson | Counselor | 422 38th St Apt A, Oakland, CA 94609-2778 | 2020-09-23 |
| 1801412689 | Lindsey Schwartz | Counselor | 7200 Bancroft Ave, Building B, Ste 133, Oakland, CA 94605-2480 | 2020-06-17 |
| 1013538487 | Alex Weinstein | Counselor | 4264 Norton Ave, Oakland, CA 94602-4018 | 2020-04-27 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1992342810 | Zoe Karanfilian | Counselor | 62 Vancleave Way, Oakland, CA 94619-2340 | 2019-12-10 |
| 1881154763 | Cia A Robles | Counselor | 3798 Grand Ave Ste 1, Oakland, CA 94610-1527 | 2019-03-25 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1013489954 | Jasmine J Rutherford | Counselor | 3301 E 12th St Ste 116, Oakland, CA 94601-3424 | 2018-12-17 |
| 1366910549 | Raven Porter | Counselor | 2747 76th Ave, Oakland, CA 94605-2809 | 2018-11-06 |
| 1801363288 | Shane Smith | Counselor | 10401 Shaw St, Oakland, CA 94605-5116 | 2018-10-24 |
| Find all providers in OAKLAND | ||||
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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.