Individual provider Active NPI

Matthew Millman

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1033728316
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
170 Pleasant St
Fall River, MA 02721-3015
Phone
(774) 294-5722
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

170 Pleasant St
Fall River, MA 02721-3015

Mailing address

170 Pleasant St
Fall River, MA 02721-3015
Phone (774) 294-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240313000423 MA Practitioner - Mental Health Counselor 9931545910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Coast Behavioral LLCGroup PAC ID 2365888575, 5 clinicians

Practice addresses (Care Compare)

170 Pleasant St
Suite 100
Fall River, MA 02721-3015
Phone (774) 294-5722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Coast Behavioral, LLC Mental Health CurrentSince Jan 28, 2024 Accepting new patients

Locations

140 Wood Rd
Ste 403
Braintree, MA 02184
Phone (781) 817-6054

170 Pleasant St
Ste 100
Fall River, MA 02721
Phone (774) 294-5722

2733 Post Rd
Warwick, RI 02886
Phone (401) 921-4825

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1033728316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PLEASANT ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213015",
            "telephone_number": "774-294-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLMAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.