Active NPI
Joel Salvatore Matiella, M.ED, BCBA
- Behavior Analyst
- Gilbert, AZ
National Provider Identifier
1497363311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BEH-000579
- Practice address
- 1166 S Gilbert Rd Ste 106
Gilbert, AZ 85296-3461 - Phone
- (480) 341-2286
- NPI assigned
- Jul 16, 2020
- Last updated
- Jul 16, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BEH-000579 | AZ | Primary |
Addresses
Primary practice location
1166 S Gilbert Rd Ste 106
Gilbert, AZ 85296-3461
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BEH-000579 | AZ | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumpet Behavioral Health, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trumpet Behavioral Health
- Behavior Analyst
- Gilbert, AZ
- NPI 1699267153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1497363311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 UNION BLVD STE 300",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286514",
"telephone_number": "303-989-8172",
"fax_number": "303-984-4366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 S GILBERT RD STE 106",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963461",
"telephone_number": "480-341-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIELLA",
"first_name": "JOEL",
"middle_name": "SALVATORE",
"credential": "M.ED, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-16",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AZ",
"license": "BEH-000579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.