Matthew Hal Wolfenbarger

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

647 Wall St
Sevierville, TN 37862-5923

Phone

(865) 429-0557

NPI assigned

Jul 1, 2019

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

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.

• Helen Ross McNabb Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
  • NPI 1659330686
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1497317499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGDALE AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379175158",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 WALL ST",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625923",
            "telephone_number": "865-429-0557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFENBARGER",
        "first_name": "MATTHEW",
        "middle_name": "HAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Patrick Willson, DDS
• Ginny Winters
• Wise Vision Care, PLLC
• Timothy Charles Wise, OD
• Timothy Charles Wise II, O.D.
• Emily L Worsham, FNP
• Jesi Briona Wright, APRN, FNP-C
• Pamela F Wright, MSN, FNP-BC
• Abigail Chassie Wyatt
• Bailey Nicole Wyatt, PA

• Behavior Technician in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.