Matthew Innes

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

855 Ocean Ave Apt 2G
Brooklyn, NY 11226-5968

Phone

(646) 854-6139

NPI assigned

May 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1407478837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 OCEAN AVE APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 OCEAN AVE APT 2G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112265968",
            "telephone_number": "646-854-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNES",
        "first_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Glow Beauty
• Inner Mind Journey Mental Health Counseling, PLLC
• Inner Sanctum Therapy, LCSW, PLLC
• Dawn Celeste Innes, OTR/L
• George Innes
• Cora Innis-Mascoll
• Lashaun William Innis, MSED
• Chelsea Inniss
• Chrystal Inniss, R.N.
• Coral Inniss

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

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