Individual provider Active NPI

Matthew Martin Kalatsky, M.A. LPC

  • Mental Health Counselor
  • Scottsdale, AZ
National Provider Identifier
1144307356
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-10652 Issued in AZ
Practice address
9070 E Desert Cove Dr
#A103
Scottsdale, AZ 85260-6227
Phone
(480) 236-0712
Fax
(480) 946-4999
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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 LPC-10652 AZ Primary

Addresses

Primary practice location

9070 E Desert Cove Dr
#A103
Scottsdale, AZ 85260-6227

Mailing address

23131 N 90TH Way
Scottsdale, AZ 85255-8342
Phone (480) 236-0712

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC-10652AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1144307356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23131 N 90TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558342",
            "telephone_number": "480-236-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE DR",
            "address_2": "#A103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-236-0712",
            "fax_number": "480-946-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALATSKY",
        "first_name": "MATTHEW",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "M.A. LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-10652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.