Active NPI
Matthew Alan Easterbrook Sr., BA
- Addiction (Substance Use Disorder) Counselor
- Palm Springs, CA
National Provider Identifier
1104949437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880 - Phone
- (760) 322-9065
- NPI assigned
- Apr 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1330 N Indian Canyon Dr
Palm Springs, CA 92262-4880
Mailing address
1116 E Lugonia Ave
Apt D
Redlands, CA 92374-2689
Phone (909) 307-0604
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS, Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104949437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 E LUGONIA AVE",
"address_2": "APT D",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742689",
"telephone_number": "909-307-0604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 N INDIAN CANYON DR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624880",
"telephone_number": "760-322-9065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTERBROOK",
"first_name": "MATTHEW",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
- Anthony Duong, ED.S
- Kim Duong, PHARMD
- Dva Renal Healthcare Inc (Palm Springs Dialysis)
- Laura Skatvold Dyson Jr., REGISTERED NURSE
- Ea Health Physicians Medical Group, Inc.
- William James Eaton III, MPAS, PA-C
- Kiavash Ebadat, MS
- Maddison Elizabeth Eberts
- Eckman & Rach Occupational Therapy, Corporation (Hand Center Palm Springs)
- Element E Eclipse
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.