Individual provider Active NPI

Matt A Shatzman, MA

  • Counselor
  • Saint Louis, MO
National Provider Identifier
1003822388
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2007035327 Issued in MO
Practice address
8820 Ladue Rd
Suite 306
Saint Louis, MO 63124-2079
Phone
(314) 397-3775
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2007035327 MO Primary

Addresses

Primary practice location

8820 Ladue Rd
Suite 306
Saint Louis, MO 63124-2079

Mailing address

159 Hammel Ave
Saint Louis, MO 63119-2214
Phone (314) 397-3775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2007035327MOMDCounselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1003822388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 HAMMEL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192214",
            "telephone_number": "314-397-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD",
            "address_2": "SUITE 306",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242079",
            "telephone_number": "314-397-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATZMAN",
        "first_name": "MATT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "2007035327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.