Individual provider Active NPI

Robert Anthony Matano, PH.D.

  • Addiction (Substance Use Disorder) Psychologist
  • Oakland, CA
National Provider Identifier
1467483123
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
PSY9841 Issued in CA
Practice address
5665 College Ave
Suite 320B
Oakland, CA 94618-1625
Phone
(510) 559-9011
Fax
(510) 526-9334
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY9841 CA Primary
Clinical Psychologist 103TC0700X PSY9841 CA

Addresses

Primary practice location

5665 College Ave
Suite 320B
Oakland, CA 94618-1625

Mailing address

5665 College Ave
Suite 320B
Oakland, CA 94618-1625
Phone (510) 559-9011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2016 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467483123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 COLLEGE AVE",
            "address_2": "SUITE 320B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181625",
            "telephone_number": "510-559-9011",
            "fax_number": "510-526-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 COLLEGE AVE",
            "address_2": "SUITE 320B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181625",
            "telephone_number": "510-559-9011",
            "fax_number": "510-526-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATANO",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY9841",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9841",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.