JEFFREY EDWARD MATYAS SR. (NPI# 1568855385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568855385 |
| Entity Type | Individual |
| Full Name | JEFFREY EDWARD MATYAS SR. |
| Credential | LADC |
| Practice Address |
47 Town St Norwich CT 06360 |
| Mailing Address |
8 Greenway Rd New London CT 06320-2909 |
| Practice Telephone | 8608927042 |
| Mailing Telephone | 8609123743 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
001111 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902835820 | Jeffrey George Matyas | Pharmacist | 2176 Hillsboro Rd Ste 124, Franklin, TN 37069-6236 | 2006-07-02 |
| Street Address |
47 TOWN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741534 | Elizabeth L Goodin | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2005-06-22 |
| 1730786674 | Elizabeth Florentine | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-10-05 |
| 1063028975 | Colleen Roche | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-09-17 |
| 1477167120 | Erin Apt | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-09-01 |
| 1558973610 | Ashley Lynn West | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-08-20 |
| 1427671353 | Kathryn Brahm | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-05-27 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1689200859 | Jillian Hardy | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2323 | 2020-03-19 |
| 1629610860 | Victoria Hulsman | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2019-10-09 |
| 1407402654 | Katherine Ramos | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609941731 | Select Behavioral Health, LLC | Counselor | 72 New London Tpke, Norwich, CT 06360-2614 | 2006-11-22 |
| 1386718567 | Christine Ann Mattingly | Counselor | 105 Leilanis Ln, Norwich, NY 13815-3540 | 2006-11-20 |
| 1467927467 | Cook Counseling Pllc | Counselor | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2018-10-05 |
| 1699136028 | Devon Pleau | Counselor | 238 W Town St, Norwich, CT 06360-2111 | 2016-03-12 |
| 1962893305 | Alan Bonin | Counselor | 119 Lafayette St, Norwich, CT 06360-2708 | 2015-02-06 |
| 1326442740 | James Hutchins | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2014-10-14 |
| 1467899476 | Therapy Ward, LLC | Counselor | 99 Main St, 3b, Norwich, CT 06360-5732 | 2013-05-30 |
| 1720351620 | Kerry Lee | Counselor | 40 Broadway, Norwich, CT 06360-5702 | 2012-02-23 |
| 1932487048 | Jessica Mitchell | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2011-07-25 |
| 1801191986 | Mark A. Frankinburger | Counselor | 47 Town St, Norwich, CT 06360-2315 | 2011-01-20 |
| Find all providers in NORWICH | ||||
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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.