Matador Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MATADOR BEHAVIORAL HEALTH LLC

Practice address

5650 N Sheridan Rd Apt 17B
Chicago, IL 60660-4829

Phone

(773) 263-5702

NPI assigned

Mar 14, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Matthew Amador, LCSWNPI 1275018640

Title

Owner

Phone

(773) 263-5702

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Scott Amador, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1275018640
  NPD Authorized official

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1134820319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 N SHERIDAN RD APT 17B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604829",
            "telephone_number": "773-263-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 N SHERIDAN RD APT 17B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604829",
            "telephone_number": "773-263-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATADOR BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-263-5702",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Baluyot Mata, A-GNP-C
• Felicia S Mata, DMD
• Gabriela Andreina Mata, MD
• Gemma Mata
• Teresa Mata
• Adeola Matanmi
• Chaimaa Matar
• Mayra Alejandra Matar, DO
• Ralph Matar, M.D
• Karah Marie Matarazzo, LCSW

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.