Matthew Ryan Washington

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1032 Meadow Lake Dr
Vista, CA 92084-4619

Phone

(760) 630-4065

NPI assigned

Jun 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Haven Youth & Family Services, Inc

  • Community/Behavioral Health Agency
  • Vista, CA
  • NPI 1538758503
  NPD
• New Haven Youth & Family Services, Inc

  • Case Management Agency
  • Vista, CA
  • NPI 1336201490
  NPD (past)

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1225605124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W LOS ANGELES DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833101",
            "telephone_number": "760-630-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MEADOW LAKE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844619",
            "telephone_number": "760-630-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336201490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Wamsley
• Katherine L Wang, OD
• Aspyn Ward
• Gregory Herbert Ward, D.C.
• James Bruce Warden, M.D.
• Tania Mojtehedi Waskiewicz, OD
• Charline M Watanabe
• Margaret Waterman
• Garth Stephen Watkins, MD
• Nathan William Watkins, L.V.N.

• Mental Health Counselor in Vista, CA
• Providers in Vista, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.