CYNTHIA MATTERN (NPI# 1659529741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659529741 |
Entity Type | Individual |
Full Name | CYNTHIA MATTERN |
Credential | M.A. |
Practice Address |
3285 E Sparrow Ave Flagstaff AZ 86004-7794 |
Mailing Address |
850 N Bonito St Flagstaff AZ 86001-1580 |
Practice Telephone | 9285276163 |
Mailing Telephone | 9287734039 |
Mailing Fax Number | 9287734035 |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
3868964 | AZ | Behavioral Health & Social Service Providers |
Street Address |
3285 E SPARROW AVE |
City | FLAGSTAFF |
State | AZ |
Zip Code | 86004-7794 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992854020 | Jody M. Tanner | Speech-Language Pathologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2007-01-09 |
1861004202 | Molly Kathleen Varley | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2020-08-18 |
1003458449 | Lauren Graves | Specialist/Technologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2019-10-16 |
1275004335 | Kimberly Maria Welsh | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2018-12-16 |
1629551213 | Janet Reich | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2018-09-11 |
1982187605 | Selena Curran | Speech-Language Pathologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2018-09-09 |
1083124002 | Codi Dunlap | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2017-10-04 |
1194244350 | Sierra Meyer | Registered Nurse | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2017-09-19 |
1235678624 | Shantel Cameron | Specialist/Technologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2017-02-17 |
1083156210 | Natalie Hancock | Specialist/Technologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2016-11-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
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Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225229818 | Ronald T Johnson Jr. | Psychologist | 4000 N Lausanne Way, Flagstaff, AZ 86004-6832 | 2007-08-07 |
1457573362 | Jennifer Pritchard | Psychologist | 4000 N. Cummings, Flagstaff, AZ 86004 | 2007-05-02 |
1578780532 | Elizabeth Mary Mills | Psychologist | 10075 Mountainaire Rd, Flagstaff, AZ 86001-9586 | 2007-04-19 |
1265658330 | Marlene Hartmann | Psychologist | 2350 N Elk Run St, Flagstaff, AZ 86004-7603 | 2007-04-17 |
1376691899 | Anslem Gene Yazzie | Psychologist | 119 S Spring St, Flagstaff, AZ 86001-4472 | 2007-01-08 |
1447550371 | Lindsey Peterson | Psychologist | 3223 N 4th St, Flagstaff, AZ 86004-2039 | 2010-10-26 |
1598081010 | Nancy Marie Evans | Psychologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2010-04-08 |
1447440201 | Lee W Lusk | Psychologist | 710 N. Beaver Street, Bldg 4, Flagstaff, AZ 86001-3139 | 2007-07-27 |
1174736011 | Dina Neuberger | Psychologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2007-05-08 |
1992918213 | James L Connell | Psychologist | 3285 E Sparrow Ave, Flagstaff, AZ 86004-7794 | 2007-05-07 |
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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.