Kozue Matsuda

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

000841 Issued in NY

Practice address

4615 Center Blvd
Apt 1604
Long Island City, NY 11109-5738

Phone

(917) 599-6033

NPI assigned

Nov 18, 2015

Sex

Female

Sole proprietor

Yes

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

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.

• Children Center Inc

  • Behavior Analyst
  • Long Island City, NY
  • NPI 1740652338
  NPD (past) Authorized official

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1407220205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 CENTER BLVD",
            "address_2": "APT 1604",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095738",
            "telephone_number": "917-599-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 CENTER BLVD",
            "address_2": "APT 1604",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111095738",
            "telephone_number": "917-599-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDA",
        "first_name": "KOZUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "000841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilie Celeste Massena
• Eleni Mastromihalis, PHARMD
• Andrew P Matassa, D.C.
• William Mateo
• John V. Matera, RPH
• Bella Mavashev, M.A. CCC-SLP
• Maxim of New York, LLC
• Juliane Maxwald-Shrey, MA, LP, CASAC
• Emily Maxwell, OTR/L
• May Healthy Kids Pediatric, P.C

• Behavior Analyst in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.