MRS. AMANDA CATHERINE MATTICK (NPI# 1376909796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376909796 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA CATHERINE MATTICK |
| Credential | MA, LMHC, CAP |
| Practice Address |
3270 Suntree Blvd Suite 102c Melbourne FL 32940 |
| Mailing Address |
351 Lake Victoria Circle Melbourne FL 32940 |
| Practice Telephone | 3205930759 |
| Mailing Telephone | 7724756545 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2017-12-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
3270 SUNTREE BLVD SUITE 102C |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730100645 | Sheryl S Lyons | Counselor | 3270 Suntree Blvd, Suite 100, Melbourne, FL 32940-7530 | 2006-07-23 |
| 1154873750 | Laurie Donaldson, Phd, LLC | Psychologist | 3270 Suntree Blvd, Suite 1135, Melbourne, FL 32940-7530 | 2016-10-30 |
| 1720436504 | Healing Experiences, LLC | Community/Behavioral Health | 3270 Suntree Blvd, 2217, Melbourne, FL 32940-7530 | 2016-06-02 |
| 1740685171 | Alan P. Smith Counseling Services | Social Worker | 3270 Suntree Blvd, Suite 127, Melbourne, FL 32940-7530 | 2014-10-28 |
| 1497171698 | Nicole M Batiste | Counselor | 3270 Suntree Blvd, 101, Melbourne, FL 32940-7530 | 2014-03-12 |
| 1285050740 | Juana Afanador | Counselor | 3270 Suntree Blvd, Suite 101, Melbourne, FL 32940 | 2014-03-07 |
| 1881017242 | Sonia Fantauzzi | Counselor | 3270 Suntree Blvd, Melbourne, FL 32940-7530 | 2014-01-21 |
| 1376976829 | Creative Counseling Centers, LLC | Community/Behavioral Health | 3270 Suntree Blvd, Suite 2233, Melbourne, FL 32940-7530 | 2013-08-19 |
| 1932546983 | Ivory Tierra Renthrope IIi | Counselor | 3270 Suntree Blvd, Melbourne, FL 32940-7530 | 2013-05-31 |
| 1154678944 | Narcisa A Sibert | Counselor | 3270 Suntree Blvd, Melbourne, FL 32940-7530 | 2012-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303327 | Dara Maddox | Counselor | 1506 Seabreeze Ln, Melbourne, FL 32935-2030 | 2020-07-21 |
| 1679874374 | Robin Dee Denicola | Counselor | 927 E New Haven Ave Ste 316, Melbourne, FL 32901-5417 | 2010-11-11 |
| 1629128186 | Brevard Psychiatry & Psychology Inc | Counselor | 6767 N Wickham Road, Suite 306, Melbourne, FL 32940 | 2007-01-10 |
| 1023479078 | Michelle Rehbein | Counselor | 1425 Aurora Rd, Melbourne, FL 32935-5315 | 2016-03-17 |
| 1073762415 | J Phyllis Brannen Lcsw Cap | Counselor | 1503 Pine St, Melbourne, FL 32901-3120 | 2008-09-10 |
| 1497816748 | Kevin M Hallinan | Counselor | 1600 Sarno Rd, 119 J, Melbourne, FL 32935-4938 | 2006-12-12 |
| 1003993874 | J. Phyllis Brannen | Counselor | 1503 Pine St, Melbourne, FL 32901-3120 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554783 | Lee Sloan | Counselor | 2929 Sw 22nd Cir # 32b, Delray Beach, FL 33445-7890 | 2020-10-08 |
| 1982201133 | Agape Network, Inc. | Counselor | 17801 Nw 2nd Ave Ste 212, Miami Gardens, FL 33169-5029 | 2020-10-01 |
| 1558978734 | Ashley Bayliss | Counselor | Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 | 2020-09-30 |
| 1063029916 | Brandon L Argent | Counselor | 6443 Churchill Cir, Milton, FL 32583-4012 | 2020-09-24 |
| 1265048797 | Victoria Payne | Counselor | 7848 Playpen Ct, Jacksonville, FL 32210-1420 | 2020-09-21 |
| 1659983609 | Mindful Ways To Wellness | Counselor | 735 Arlington Ave N Ste 209, St Petersburg, FL 33701-3653 | 2020-08-20 |
| 1699386326 | James Michael Hoy | Counselor | 1389 Hibiscus St, Clearwater, FL 33755-3406 | 2020-08-14 |
| 1134739337 | Lidia Alejandra Martinez | Counselor | 17250 Sw 192nd St, Miami, FL 33187-5101 | 2020-08-03 |
| 1003425919 | Austin Lee Williams | Counselor | 1398 Sw 160th, Sunrise, FL 33326 | 2020-07-27 |
| 1033727433 | Brain and Beyond LLC | Counselor | 4101 N Andrews Ave Ste 306, Fort Lauderdale, FL 33309-4776 | 2020-07-21 |
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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.