FAISAL MATAR NPI 1700423076

NPI Information

NPI: 1700423076
Provider Name: FAISAL MATAR
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PSYCH CARE CONSULTANTS LLC

PECOS Registration: Yes

Address:
12855 N 40 DR
SAINT LOUIS, MO
ZIP 63141
Phone: (636) 851-7262
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Faisal Matar is a psychiatric/mental health nurse practitioner in Saint Louis, MO with 5 years of experience. Faisal Matar NPI is 1700423076. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12855 N 40 DR
SAINT LOUIS, MO
ZIP 63141-622
Phone: (636) 851-7262

The NPI 1700423076 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 12/5/2019.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2019042838	MISSOURI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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