MRS. NICOLE HAZELTON MATTHEWS


Address: 7434 S. State St., Midvale, UT 84047
Phone: 8014569955

MRS. NICOLE HAZELTON MATTHEWS (NPI# 1578854105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578854105
Entity Type Individual
Full Name MRS. NICOLE HAZELTON MATTHEWS
Credential M.ED, BCBA
Practice Address 7434 S. State St.
Midvale
UT 84047
Mailing Address 7434 South State Street
Midvale
UT 84047
Practice Telephone 8014569955
Practice Fax Number 8014569954
Mailing Telephone 8014569955
Mailing Fax Number 8014569954
Enumeration Date 2011-05-01
Last Update Date 2014-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103K00000X Behavioral Analyst 1-11-8121 Behavioral Health & Social Service Providers
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers NICOLE MATTHEWS

NPI Name Taxonomy Address Enumeration
1164927794 Nicole Matthews Speech-Language Pathologist 2584 Anchorgate Dr, Henderson, NV 89052-4905 2018-03-26
1174981997 Nicole Marie Matthews Dentist 1009 Highway C, New Haven, MO 63068-1425 2016-02-08
1295190528 Nicole Matthews Social Worker 249 Main St, East Setauket, NY 11733-2919 2015-12-31
1043621410 Nicole M Matthews Family Medicine 1600 23rd Ave, Greeley, CO 80634-6070 2014-05-19
1285053256 Nicole Marie Matthews Pharmacist 2406 E Thomas Rd, Phoenix, AZ 85016-7912 2014-04-07
1619391232 Nicole Matthews Counselor 5593 Highway 311, Houma, LA 70360-2866 2014-02-18
1982867461 Nicole Andre'a Matthews Psychiatry & Neurology 5501 Old York Rd, Philadelphia, PA 19141-3018 2008-07-06

Office Location

Street Address 7434 S. STATE ST.
City MIDVALE
State UT
Zip Code 84047

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649885096 Wound Pros Utah Durable Medical Equipment & Medical Supplies 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 2020-09-12
1457965824 Duy Danny Vo Pharmacist 7200 S State St, Midvale, UT 84047 2020-09-03
1619457314 Tlcpo LLC Counselor 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 2018-08-21
1700371606 Heather Ivana Lawrence Social Worker 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 2018-06-25
1285128942 A&a Counseling Counselor 7602 S Main St, Midvale, UT 84047 2018-06-17
1396235339 Hhalmid Assisted Living Facility 6968 S 700 E, Midvale, UT 84047 2018-05-15
1750879987 Rosemarie Elaine Brinig Counselor 75 E. Ft. Union, C118, Midvale, UT 84047 2018-04-24
1861921140 Olivia Devenport Behavior Technician 7434 S State Street, Midvale, UT 84047 2017-06-08
1376083071 Marathon Health, LLC Nurse Practitioner 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 2017-02-28
1710436316 Michael Naanes Physical Therapist 900 East 6900 South, Suite 100, Midvale, UT 84047 2016-09-25
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497098446 Kathleen Pauline Clark Developmental Therapist 7434 S State St, Midvale, UT 84047-2014 2013-03-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508220435 Madisen Crapo Developmental Therapist 222 S Main St Fl 5, Salt Lake City, UT 84101-2174 2016-04-06
1952762932 Megan Buckley Developmental Therapist 881 Baxter Drive, Ste 100, South Jordan, UT 84095 2016-03-17
1952762676 Mary Tortorici Developmental Therapist 2630 E Stringham Ave, #115a, Salt Lake City, UT 84109-3975 2016-03-08
1861852162 Amanda Williams Developmental Therapist 8531 Fairway Dr, West Jordan, UT 84088-9592 2016-02-29
1093175499 Casey Barron Developmental Therapist 3280 S Orchard St, Salt Lake City, UT 84106-3343 2016-02-26
1407216120 Ashley Earp Developmental Therapist 24 S 500 E Apt 406, Salt Lake City, UT 84102-1011 2016-02-24
1437521887 Butterfly Effects Developmental Therapist 881 W Baxter Dr Ste 100, South Jordan, UT 84095-8506 2015-10-26
1902220890 Adin Lee Developmental Therapist 575 N Seven Peaks Blvd, #28, Provo, UT 84606-6647 2014-02-12
1235567579 Ashley Kelly Developmental Therapist 645 E 500 N Apt 4, Logan, UT 84321-4340 2013-10-24
1811296783 Chad Alan Schiffman Developmental Therapist 286 Marilyn Dr, 286 Marilyn Drive, Clearfield, UT 84015-1036 2011-03-18
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Competitor

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City MIDVALE
Zip Code 84047

Improve Information

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Dataset Information

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.

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