Mathew William Carver

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

235524 Issued in CA

Practice address

126 E 16TH St
Costa Mesa, CA 92627-7704

Phone

(949) 940-5445

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Barn Life LLC

  • Adult Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1083180095
  NPD
• Zen Mountain Path

  • Substance Abuse Rehabilitation Facility
  • Corona del Mar, CA
  • NPI 1598151490
  NPD
• Zen Recovery,LLC

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1386907418
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1255823779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E 16TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277704",
            "telephone_number": "949-940-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E 16TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926277704",
            "telephone_number": "949-940-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "MATHEW",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "235524",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "235524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivaun Kathleen Carter
• Renee Cartujano
• Dorothy J. Caruso, M.A.
• Claudio M Carvalho, D.O.
• Lily Carver
• Casa Capri
• Casa Capri
• Casa Capri
• Casa Capri Recovery LLC
• Christian Gerric Casco

• Adult Mental Health Clinic/Center in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.