Matthew S Clista

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC013990 Issued in PA

Practice address

1789 S Braddock Ave Ste 360
Pittsburgh, PA 15218-1889

Phone

(178) 569-2837

NPI assigned

Sep 10, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Sweetwater Behavioral Health and Wellness, PC

  • Psychiatry Physician
  • Ambridge, PA
  • NPI 1942775853
  NPD

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1154970234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 360",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181889",
            "telephone_number": "178-569-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 S BRADDOCK AVE STE 360",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181889",
            "telephone_number": "178-569-2837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Beaver St",
            "address_purpose": "LOCATION",
            "city": "Ambridge",
            "state": "PA",
            "postal_code": "150032487",
            "country_code": "US",
            "telephone_number": "412-347-1978",
            "fax_number": "412-227-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLISTA",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline M Clines
• Owen Duane Clinger, MD
• Clinical & Interventional Cardiology, Inc
• Clinical Neurophysiological Services, LLC
• Anne Elizabeth Clinton, MD
• Molly Annette Cloherty, RD LDN CNSD
• Jessica Clokey, CRNP
• Danuta Clonan
• Brittney Cloninger
• Shannon Clontz, PA-C

• Mental Health Counselor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.