MATTHEW FUNK (NPI# 1609917913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609917913 |
| Entity Type | Individual |
| Full Name | MATTHEW FUNK |
| Practice Address |
2535 Kettner Blvd Ste 1a4 San Diego CA 92101-1252 |
| Practice Telephone | 6196150701 |
| Practice Fax Number | 6196150705 |
| Mailing Telephone | 6196150701 |
| Mailing Fax Number | 6196150705 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295971059 | Matthew Francis Funk | Chiropractor | 60 Lafayette St, Chiropractic Clinic, Bridgeport, CT 06604-7719 | 2008-12-29 |
| Street Address |
2535 KETTNER BLVD STE 1A4 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-1252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174663165 | Elise Agrella | Social Worker | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2007-02-07 |
| 1033684303 | Paula Harriet Soderberg | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-10-12 |
| 1093298796 | Kelsey Olivia Daniels | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-09-10 |
| 1871075457 | Rebecca Shelley Camacho | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-30 |
| 1316428899 | Laura Gomez | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-23 |
| 1982185591 | Zubeda Dhada | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-22 |
| 1154800183 | Gresia Yadira Perez Osuna | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-10 |
| 1558840983 | Gizel Janai Aquino | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-07 |
| 1366920415 | Samantha Montoya | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-08-01 |
| 1447736673 | Jessica Esmeralda Gaytan | Counselor | 2535 Kettner Blvd Ste 1a4, San Diego, CA 92101-1252 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081376 | Annel Vianey Orduno | Counselor | 3517 Camino Del Rio South Suite 407, San Diego, CA 92108-4026 | 2020-10-23 |
| 1689280422 | Jason Vince Rather | Counselor | 333 Ledgewood Lane, San Diego, San Diego, CA 92114 | 2020-09-17 |
| 1851903751 | Shawn M Sta Ines | Counselor | 8775 Aero Dr Ste 230, San Diego, CA 92123-1779 | 2020-08-20 |
| 1821607599 | Tara Oneil | Counselor | 2383 Jefferson St Unit 3, San Diego, CA 92110-3007 | 2020-07-28 |
| 1881212520 | Ureclaim Therapy | Counselor | 6331 Nancy Ridge Dr # 209, San Diego, CA 92121-6204 | 2020-07-09 |
| 1326664731 | Andressa Gomes Giacomini | Counselor | 6219 Stanley Ave Apt 7, San Diego, CA 92115-4048 | 2020-06-22 |
| 1407480726 | Autumn Weidman | Counselor | 2930 Cowley Way Unit 303, San Diego, CA 92117-6859 | 2020-02-25 |
| 1881233708 | Ramin Movafaghi | Counselor | 3737 Murphy Canyon Rd, San Diego, CA 92123-4454 | 2019-12-23 |
| 1326696477 | Jennifer Erin Reimer | Counselor | 7568 Charmant Dr Apt 1917, San Diego, CA 92122-5018 | 2019-09-02 |
| 1316595739 | Ashley Champa | Counselor | 7954 Dagget St, San Diego, CA 92111-2306 | 2019-08-28 |
| Find all providers in SAN DIEGO | ||||
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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.