MATTHEW CODDE


Address: 14611 Oak Ave, Irvine, CA 92606-2166
Phone: 9495330436

MATTHEW CODDE (NPI# 1649742032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649742032
Entity Type Individual
Full Name MATTHEW CODDE
Credential LCSW
Practice Address 14611 Oak Ave
Irvine
CA 92606-2166
Practice Telephone 9495330436
Mailing Telephone 9495330436
Enumeration Date 2018-12-22
Last Update Date 2018-12-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 14611 OAK AVE
City IRVINE
State CA
Zip Code 92606-2166

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1841532736 Deborah Odell Counselor 14 Alba E, Irvine, CA 92620-1901 2013-03-19
1619224524 Nancy Patricia Hernandez Counselor 5 Slocum, Irvine, CA 92620 2012-08-09
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Competitor

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City IRVINE
Zip Code 92606

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Dataset Information

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.

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