Angelique Matutino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT-381 Issued in HI

Practice address

45-845 Pookela St
Kaneohe, HI 96744-5700

Phone

(808) 447-5261

Fax

(808) 236-2626

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angelique Tanner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heather H. McDermott, Psy.D., LLC

  dba Adult and Child Psychological Services

  • Clinical Psychologist
  • Honolulu, HI
  • NPI 1629405493
  NPD (past)
• The Alcoholic Rehabilitation Services of Hawaii Inc

  dba Hina Mauka

  • Substance Abuse Rehabilitation Facility
  • Kaneohe, HI
  • NPI 1740358118
  NPD (past)

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1013302835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-845 POOKELA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445700",
            "telephone_number": "808-447-5261",
            "fax_number": "808-236-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-845 POOKELA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445700",
            "telephone_number": "808-447-5261",
            "fax_number": "808-236-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUTINO",
        "first_name": "ANGELIQUE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "MFT-381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "TANNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Travis Michael Masutani, LCSW
• Robin Izumi Matsukawa, M.D.
• Deborah J Mattheus, PHD, MSN, PNP, APRN
• Daryl Matthews, MD PHD
• Martin E Matthews, LMHC
• Maulihiwa Wellness, LLC
• Rachel Mazuch
• Irene M Mazurok, LCSW, CSAC
• Roberta McArthur, LMT
• Mari McClenney, MS, RDN, IBCLC

• Marriage & Family Therapist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Marriage & Family Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.