MATTHEW GENE MAA (NPI# 1225463458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225463458 |
| Entity Type | Individual |
| Full Name | MATTHEW GENE MAA |
| Credential | MSN, PMHNP-BC |
| Practice Address |
1221 W Ben White Blvd Suite B300 Austin TX 78704-7192 |
| Mailing Address |
205 E University Ave Ste 200 Georgetown TX 78626-6821 |
| Practice Telephone | 5125249293 |
| Mailing Telephone | 8778005722 |
| Mailing Fax Number | 5128692940 |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2018-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP124012 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3317794-01 | 05 |
| Street Address |
1221 W BEN WHITE BLVD SUITE B300 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-7192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669447397 | Ashwin Gowda | Internal Medicine | 1221 W Ben White Blvd, Suite A-100, Austin, TX 78704-7192 | 2006-02-17 |
| 1871132118 | Transitions Neuropsychology of Austin | Psychologist | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2020-01-03 |
| 1447716246 | Mallie Danielle Underwood | Social Worker | 1221 W Ben White Blvd, Ste 210a, Austin, TX 78704-7182 | 2019-02-17 |
| 1902317167 | Nicole Elizabeth Anderson | Nurse Practitioner | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2017-10-16 |
| 1508223637 | Vital Chiropractic & Wellness Pllc | Chiropractor | 1221 W Ben White Blvd, Ste. 111a, Austin, TX 78704-7192 | 2016-01-20 |
| 1053794750 | Riddhi Jariwala | Physical Therapist | 1221 W Ben White Blvd, 211a, Austin, TX 78704-7192 | 2015-06-30 |
| 1124421706 | Eva Shaw | Social Worker | 1221 W Ben White Blvd, Suite B100/b200, Austin, TX 78704-7192 | 2014-09-26 |
| 1497160071 | Lorena Ray | Dentist | 1221 W Ben White Blvd, Suite 112b, Austin, TX 78704-7192 | 2014-06-23 |
| 1205132115 | Sharasa Matthews | Counselor | 1221 W Ben White Blvd, Austin, TX 78704-7192 | 2011-02-10 |
| 1073820023 | Central Texas Community Health Centers | Clinic/Center | 1221 W Ben White Blvd, Ste.112b, Austin, TX 78704-6888 | 2010-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1609494251 | Nandita Sarkar | Nurse Practitioner | 12804 Partridge Bend Dr, Austin, TX 78729-7385 | 2020-07-09 |
| 1295360477 | Linda Dawn Dao | Nurse Practitioner | 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 | 2020-03-07 |
| 1518591460 | Mynd Works Psychiatry, Pllc | Nurse Practitioner | 3724 Jefferson St Ste 206, Austin, TX 78731-6221 | 2020-03-01 |
| 1447726377 | Alysse Rochelle Craft | Nurse Practitioner | 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 | 2018-10-18 |
| 1033691746 | Malcolm Duncan | Nurse Practitioner | 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 | 2018-08-30 |
| 1003396391 | Kimberly Bridzeke Staton | Nurse Practitioner | 1201 E 7th St Ste 620, Austin, TX 78702-3222 | 2018-08-16 |
| 1598201972 | Jeffrey Wright Bayless | Nurse Practitioner | 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 | 2017-01-10 |
| 1316491368 | Ryann Rathbone | Nurse Practitioner | 1600 W 38th St Ste 318, Austin, TX 78731-6406 | 2016-08-08 |
| Find all providers in AUSTIN | ||||
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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.