KENNETH L MATTISON (NPI# 1386790285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386790285 |
| Entity Type | Individual |
| Full Name | KENNETH L MATTISON |
| Practice Address |
9327 Fairway View Pl Ste 110 Rancho Cucamonga CA 91730-0969 |
| Mailing Address |
14075 Hesperia Rd Ste 208 Victorville CA 92395-4500 |
| Practice Telephone | 0994533309 |
| Practice Fax Number | 9099451031 |
| Mailing Telephone | 7602432482 |
| Mailing Fax Number | 7602433321 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC34041 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14075 Hesperia Rd Ste 208, Victorville, CA 923954500 | 7602432482 | 7602433321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538518741 | Kenneth Mattison | Nurse Anesthetist, Certified Registered | 601 E Rollins St, Orlando, FL 32803-1248 | 2016-06-08 |
| Street Address |
9327 FAIRWAY VIEW PL STE 110 |
| City | RANCHO CUCAMONGA |
| State | CA |
| Zip Code | 91730-0969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205888658 | Waheed Ahmad Saeed | Psychiatry & Neurology | 9327 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0969 | 2006-05-16 |
| 1851813174 | Maud Margaret Aretz | Marriage & Family Therapist | 9327 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0969 | 2017-07-07 |
| 1841430113 | Andrew J Tamanaha | Psychologist | 9327 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0969 | 2009-02-26 |
| 1659427540 | Rhonda Lee Mcbride | Marriage & Family Therapist | 9327 Fairway View Pl Ste 110, Rancho Cucamonga, CA 91730-0969 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722444 | Alliancerx Health Solutions, LLC. | Clinical Medical Laboratory | 9431 Haven Ave, Suite 100 #376, Rancho Cucamonga, CA 91730 | 2020-05-19 |
| 1346860194 | Wecare Dialysis Center | Clinic/Center | 8591 Grove Ave, Rancho Cucamonga, CA 91730 | 2020-04-22 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1205471240 | Breena Nakamoto | Social Worker | 9645 Arrow Route, Building 5, Suite A, Rancho Cucamonga, CA 91730 | 2019-11-13 |
| 1497300180 | Laura Estela Le | Behavior Technician | 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 | 2019-08-08 |
| 1336792100 | Swan Psychological Services, Inc. | Psychologist | 8333 E. Foothill Blvd., Suite 109, Rancho Cucamonga, CA 91730 | 2019-07-22 |
| 1568023745 | Mariah Wright | Behavior Technician | 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 | 2019-06-27 |
| 1770140378 | Amanda Ware | Clinic/Center | 9333 Fairway View Place Suite 101, Rancho Cucamonga, CA 91730 | 2019-05-20 |
| 1265995435 | Collaborative Autism Management Programs Inc. | Community/Behavioral Health | 9360 Santa Anita Ave Ste 104, Rancho Cucamonga, CA 91730 | 2019-04-12 |
| 1700361326 | Brittany Rhone | Behavioral Analyst | 933 Baseline Rd, Rancho Cucamonga, CA 91730 | 2018-09-28 |
| Find all providers in zip 91730 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275810 | Milestone Marriage and Family Therapy Services Professional Corporati | Marriage & Family Therapist | 10601 Civic Center Dr Ste 100a-d, Rancho Cucamonga, CA 91730-3878 | 2020-11-04 |
| 1447859020 | Village Mental Health Group LLC | Marriage & Family Therapist | 11755 Malaga Dr Unit 1242, Rancho Cucamonga, CA 91730-8133 | 2020-10-23 |
| 1568060499 | Essential Peace of Mind Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 9650 Milliken Ave Apt 4211, Rancho Cucamonga, CA 91730-6073 | 2020-10-13 |
| 1386259422 | Reginald Rogers | Marriage & Family Therapist | 9567 Arrow Rte Ste M, Rancho Cucamonga, CA 91730-4550 | 2020-09-15 |
| 1487275095 | Saving Grace Therapy Services | Marriage & Family Therapist | 8350 Archibald Ave Ste 225, Rancho Cucamonga, CA 91730-3671 | 2020-05-05 |
| 1255967410 | Cadisha Alexa Gravesande | Marriage & Family Therapist | 10532 Acacia St Ste B4, Rancho Cucamonga, CA 91730-5455 | 2020-03-19 |
| 1982235263 | Mel Latone Family Counseling, Inc. | Marriage & Family Therapist | 9033 Base Line Road, Suite M, Rancho Cucamonga, CA 91730 | 2020-01-27 |
| 1699312967 | Richard Guynn King | Marriage & Family Therapist | 9375 Archibald Ave Ste 107, Rancho Cucamonga, CA 91730-5728 | 2019-12-05 |
| 1770126070 | Regina Yvette Famiglietti | Marriage & Family Therapist | 9033 Baseline Rd Ste K, Rancho Cucamonga, CA 91730-1214 | 2019-10-21 |
| 1174081061 | Joe Navarro | Marriage & Family Therapist | 10630 Town Center Dr Ste 102, Rancho Cucamonga, CA 91730-6806 | 2019-03-09 |
| Find all providers in RANCHO CUCAMONGA | ||||
| City | RANCHO CUCAMONGA |
| Zip Code | 91730 |
Please comment or provide details below to improve the information on KENNETH L MATTISON.
| 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.