John Mattathil John, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

049236 Issued in NY

Practice address

185 Montague St
2ND Floor
Brooklyn, NY 11201-3608

Phone

(718) 222-1701

Fax

(718) 222-1474

NPI assigned

Dec 13, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MHH Psychology and Speech-Language Pathology Therapy Services PLLCGroup PAC ID 0941235626, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• MHH Psychology and Speech-Language Pathology Therapy Services PLLC

  dba MHH Clinical Services PLLC

  • Contractor
  • New Hyde Park, NY
  • NPI 1871966515
  Medicare reassignment Care Compare group NPD
• The Shield of David, Inc.

  dba The Shield Institute

  • Clinic/Center
  • Bayside, NY
  • NPI 1184661290
  Medicare reassignment NPD
• Adapt Medical Professional Services

  • Intellectual & Developmental Disabilities Psychologist
  • New York, NY
  • NPI 1033873153
  Medicare reassignment
• Transitional Services for New York,Inc.

  • Community/Behavioral Health Agency
  • Jamaica, NY
  • NPI 1861644148
  NPD (past)
• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)
• John M Boozan MD PA

  • Specialist
  • Summit, NJ
  • NPI 1427102326
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1023291952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MONTAGUE ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013608",
            "telephone_number": "718-222-1701",
            "fax_number": "718-222-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MONTAGUE ST",
            "address_2": "2ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013608",
            "telephone_number": "718-222-1701",
            "fax_number": "718-222-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JOHN",
        "middle_name": "MATTATHIL",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "049236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Jade John, MS, OTR/L
• Glenda John
• Gordon B John
• Jenell John
• Jennefie Marilyn John, RESPIRATORY THERAPIS
• Joyce Salu John
• Judy B John
• Kathleen John
• Keisha John, P.T.
• Lisa Diana John

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.