CHRISTINE A MATTERA NPI 1366541039

NPI Information

NPI: 1366541039
Provider Name: CHRISTINE A MATTERA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
55 JOHN A CUMMINGS WAY
WOONSOCKET, RI
ZIP 02895
Phone: (401) 235-7000
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Christine A Mattera is an addiction (substance use disorder) counselor in Woonsocket, RI. Christine A Mattera NPI is 1366541039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 JOHN A CUMMINGS WAY
WOONSOCKET, RI
ZIP 02895-247
Phone: (401) 235-7000

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LCDP00159	RHODE ISLAND	Yes
2	101YM0800X	Counselor	Mental Health	MCH00140	RHODE ISLAND	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000030461	OTHER	RHODE ISLAND	BLUE CROSS
2	407700	OTHER	RHODE ISLAND	BLUE CHIP
3	6252869	OTHER	RHODE ISLAND	UNITED HEALTH
4	CM26347	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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