MR. MATTHEW THOMAS STILLEY (NPI# 1649401977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649401977 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW THOMAS STILLEY |
| Practice Address |
1930 Marlton Pike E Bldg T Cherry Hill NJ 08003-2150 |
| Mailing Address |
9510 Amherst Ave Apt 102 Margate City NJ 08402-1074 |
| Practice Telephone | 6094583028 |
| Mailing Telephone | 6094583028 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2016-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00201300 | NJ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05915100 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1930 MARLTON PIKE E BLDG T |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871923490 | Aisol Ch LLC | Counselor | 1930 Marlton Pike E Bldg T, Cherry Hill, NJ 08003-2150 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790310738 | Eleanor Health Professional Nj, LLC | Counselor | 2250 Chapel Ave W Ste 120, Cherry Hill, NJ 08002-2051 | 2020-03-10 |
| 1003369596 | Susan Patricia Schaming | Counselor | 17 Regency Ct, Cherry Hill, NJ 08002-1000 | 2016-08-01 |
| 1427466358 | Tiffany M Jenkins | Counselor | 535 Route 38 Ste 123h, Cherry Hill, NJ 08002-2971 | 2014-07-23 |
| 1952883183 | Awakening Change Counseling Services LLC | Counselor | 535 Route 38 Ste 123h, Cherry Hill, NJ 08002 | 2018-09-04 |
| 1841779857 | Paige Colette Palumbo | Counselor | 1930 Marlton Pike E Ste R91, Cherry Hill, NJ 08003-4207 | 2018-08-09 |
| 1871923490 | Aisol Ch LLC | Counselor | 1930 Marlton Pike E Bldg T, Cherry Hill, NJ 08003-2150 | 2013-11-18 |
| 1992146278 | Joseph Donnelly | Counselor | 19 E Ormond Ave, Cherry Hill, NJ 08034-2053 | 2013-07-15 |
| 1720353014 | Lorraine Yvette Howard | Counselor | 535 Route 38 Ste 128d, Cherry Hill, NJ 08002-2953 | 2012-03-20 |
| 1063701910 | Kenia Artis | Counselor | 499 Cooper Landing Rd, Cherry Hill, NJ 08002-2504 | 2011-03-31 |
| 1023322062 | Joann Mccondichie | Counselor | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2010-08-02 |
| Find all providers in CHERRY HILL | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
Please comment or provide details below to improve the information on MR. MATTHEW THOMAS STILLEY.
| 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.