MATTHEW THOMAS TATUM (NPI# 1366672313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366672313 |
| Entity Type | Individual |
| Full Name | MATTHEW THOMAS TATUM |
| Credential | PSYD |
| Practice Address |
2343 Deauville Cir Clovis CA 93619-4292 |
| Mailing Address |
7065 N Maple Ave Fresno CA 93720-8013 |
| Practice Telephone | 5597974460 |
| Mailing Telephone | 5593267775 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY25350 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7065 N Maple Ave, Fresno, CA 937208013 | 5593267775 |
| Street Address |
2343 DEAUVILLE CIR |
| City | CLOVIS |
| State | CA |
| Zip Code | 93619-4292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396371720 | Sierra Meadows Behavioral Health | Psychiatric Residential Treatment Facility | 2343 Deauville Cir, Clovis, CA 93619-4292 | 2020-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639557655 | Esperanza Therapy Services, LLC | Community/Behavioral Health | 3293 Whiteash, Clovis, CA 93619 | 2015-05-11 |
| 1063828960 | Rose Scott | Rehabilitation Practitioner | 3675 Richmond Avenue, Clovis, CA 93619 | 2014-07-11 |
| 1538458237 | Paula Y. Mouanoutoua | Pharmacist | 1544 N. Cherrylane, Clovis, CA 93619 | 2011-04-04 |
| 1114041795 | Anagha Pathak | Contractor | 776 W Siena Ln, Clovis, CA 93619 | 2007-03-19 |
| 1497742555 | Mohammad H Rahman | Allergy & Immunology | 12365 N Via Tuscania, Clovis, CA 93619 | 2005-10-04 |
| 1285771238 | Iulia Vorobchevici | Dentist | 1305 N Willow Ave, Suite 110, Clovis, CA 93619 | 2007-01-31 |
| 1316194368 | Carlo Magno Arriba Paderna | Dentist | 1627 N Karen Ave, Clovis, CA 93619-0406 | 2008-08-21 |
| 1871952317 | Brenda Louise Munoz | Physical Therapy Assistant | 513 W Prescott Ave, Clovis, CA 93619-0423 | 2016-02-12 |
| 1023277126 | Rosa Petrosian | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2008-06-03 |
| 1831463330 | H & A Medical Transportation | Non-emergency Medical Transport (VAN) | 2471 Deauville Cir, Clovis, CA 93619-2828 | 2012-02-29 |
| Find all providers in zip 93619 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1093154163 | Stanley Frederick Littleworth | Psychologist | 4785 N Pinebury Way, Clovis, CA 93619-4626 | 2013-06-21 |
| 1275971665 | Kenneth John Carr | Psychologist | 641 N Fowler Ave, Apt #255, Clovis, CA 93611-6610 | 2013-06-07 |
| 1831452564 | Cara Jean Emes | Psychologist | 613 Harvard Ave, Suite 202, Clovis, CA 93612-1866 | 2012-06-18 |
| 1053561472 | Paula Jean Willis | Psychologist | 1920 N Burl Ave, Clovis, CA 93619-2865 | 2008-09-22 |
| 1851441810 | Larry Samuel Moricca | Psychologist | 642 Pollasky Ave, #210, Clovis, CA 93612-1875 | 2007-01-11 |
| 1851451603 | Patricia Prater | Psychologist | 3128 Willow Ave Ste 102, Clovis, CA 93612-4746 | 2006-12-11 |
| 1245327626 | Alexia Baca Morgan | Psychologist | 106 Pollasky, A, Clovis, CA 93612 | 2006-10-06 |
| 1235225764 | Alexa Hilary Wasserman-toncheff | Psychologist | 3128 Willow, Suite 102, Clovis, CA 93612 | 2006-10-04 |
| 1215032784 | John Lester Collins | Psychologist | 1600 Sutter Pl, Clovis, NM 88101-4611 | 2006-09-13 |
| Find all providers in CLOVIS | ||||
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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.