Matties Ranch LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21805 Issued in TX

Legal business name

MATTIES RANCH LLC

Practice address

5014 Oak Bend Circle
Denton, TX 76208

Phone

(940) 383-0870

NPI assigned

Mar 25, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc A. Valenti

Title

Manager

Phone

(817) 586-8527

Specialties & licenses 1

Addresses

Other names 1

• Mattie's Ranch Other name

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1649664897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12217 LANGLEY HILL DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-586-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 OAK BEND CIRCLE",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-383-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIES RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "VALENTI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-586-8527"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mattie's Ranch",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Matison
• Matrix Rehabilitation- Texas, Inc. (MATRIX Rehabilitation of Denton)
• Danielle Matson, PA-C
• Nicole Matthews, LPC
• Ryan Matthiesen, DO
• Liberty Vicente Maximo, APRN, ACNPC-AG
• Maxus Healthcare Partners LLC (Renew Home Health)
• Lori Jan May-Malone, MD
• Rachel Salida May, LCSW, ASOTP
• Jodie A Mayfield, CNM

• Psychologist in Denton, TX
• Providers in Denton, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.