MATTHEW TABOADA (NPI# 1821547316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821547316 |
| Entity Type | Individual |
| Full Name | MATTHEW TABOADA |
| Practice Address |
440 Sawgrass Corporate Pkwy Ste 106 Sunrise FL 33325-6236 |
| Mailing Address |
148 Carlisle Dr Miami Springs FL 33166-5040 |
| Practice Telephone | 7866910265 |
| Mailing Telephone | 7866910265 |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
440 SAWGRASS CORPORATE PKWY STE 106 |
| City | SUNRISE |
| State | FL |
| Zip Code | 33325-6236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467624338 | Sandra Michelle Roddy | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2008-03-31 |
| 1912518317 | Clayton Magenheimer | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-08-11 |
| 1457962946 | Alejandro Lazaro Jerez | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-08-10 |
| 1023627809 | Michael D. Cruz | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-28 |
| 1639787195 | Gustavo Alejandro Gonzalez | Student in an Organized Health Care Education/Training Program | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-21 |
| 1912515677 | Yanelle Bosch | Student in an Organized Health Care Education/Training Program | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-20 |
| 1306464243 | Frida Elizabeth Rosado | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-07 |
| 1538787544 | Denisse Marie Suarez | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-07 |
| 1619595626 | Cindy Nunez | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2020-07-07 |
| 1932745106 | Giovanna Juleisi Rodriguez | Behavior Technician | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588273437 | Gabriela Avila- Garcia | Behavior Technician | 440 Sawgrass Corporate Parkway Suite 106, Sunrise, FL 33325 | 2020-07-27 |
| 1174002711 | Susana Potter | Counselor | 11913 Sw 13th Ct, Davie, FL 33325 | 2018-08-13 |
| 1871015701 | Veredy S.a.s LLC | Specialist/Technologist, Other | 705 Sw 148 Av Apt 202, Davie, FL 33325 | 2017-07-12 |
| 1861922205 | Veronica Ivonne Franco-saavedra | Physician Assistant | 701 Sw 148th Ave Apt 101, Davie, FL 33325 | 2017-06-18 |
| 1174052229 | Edinson Antonio Matos-moreno | Physician Assistant | 705 Sw 148th Ave Apt 202, Davie, FL 33325 | 2017-06-11 |
| 1457887523 | Caribbean Pediatrics Inc | Exclusive Provider Organization | 11750 Nw 6th Place, Plantation, FL 33325 | 2017-05-10 |
| 1639605058 | Scott Rosiere | Psychologist | 480 West Mount Vernon Drive, Plantation, FL 33325 | 2017-05-04 |
| 1457896458 | New Life Counseling Inc. | Counselor | 1775 S. Flamingo Rd, Suite 1, Davie, FL 33325 | 2016-12-29 |
| 1821541541 | Heather Contreras | Physician Assistant | 11352 W State Road 84 Unit 1, Davie, FL 33325 | 2016-07-28 |
| 1568822070 | Martha Falconi | Acupuncturist | 13224 W. Broward Blvd., Plantation, FL 33325 | 2016-02-25 |
| Find all providers in zip 33325 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780914721 | Graciela P Marques | Psychologist | 440 Sawgrs Corp Pkwy Ste 106, Sunrise, FL 33325-6236 | 2010-01-13 |
| 1467624338 | Sandra Michelle Roddy | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2008-03-31 |
| 1538636428 | Jaelin Harris | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-29 |
| 1124593843 | Christopher Rivera | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-09 |
| 1659846608 | Diana Barbara Garcia | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-10-05 |
| 1730663105 | Andrea Zurita | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-20 |
| 1730663394 | Sharon Roman | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-19 |
| 1962986539 | Alis Cueto | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-19 |
| 1629552575 | Diara Sofia Juma | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-09-17 |
| 1902382021 | Catherine Bauta | Psychologist | 440 Sawgrass Corporate Pkwy Ste 106, Sunrise, FL 33325-6236 | 2018-07-11 |
| Find all providers in SUNRISE | ||||
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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.