Mastery Neuroscience Training Certified LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MASTERY NEUROSCIENCE TRAINING CERTIFIED LLC

Practice address

1602 S Parker Rd Ste 212
Denver, CO 80231-2921

Phone

(303) 368-8277

NPI assigned

May 1, 2023

Last updated

Jun 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Walter Charles Porter IINPI 1518697812

Title

Ceo

Phone

(303) 368-8277

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, and the practitioner matching its NPPES authorized official.

• Walter Porter Jr.

  • Neurorehabilitation Occupational Therapist
  • Denver, CO
  • NPI 1518697812

  Multi-Specialty

  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686096000000",
    "number": "1376231068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 212",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312921",
            "telephone_number": "303-368-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 S PARKER RD STE 212",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802312921",
            "telephone_number": "303-368-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERY NEUROSCIENCE TRAINING CERTIFIED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-368-8277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master Plan Hearing Aid Co., Inc.
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• Scott Russell Masters, MD
• Rosalyn Masterson, CAC III
• Duane Rodgers-Perez Mata, D.D.S.
• Eliselda Mata, LPC, CAC III
• Frank Matarazzo, PA
• Joseph Matarazzo, D.O.
• Michelle Rose Matassa, MS, PA-C

• Community Health Worker in Denver, CO
• Providers in Denver, CO by specialty
• Community Health Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.