Organization Active NPI

Matteo R Muti,Jr

  • Community/Behavioral Health Agency
  • Valley Village, CA
National Provider Identifier
1679878771
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004454 Issued in CA
Legal business name
MATTEO R MUTI,JR
Practice address
12214 Riverside Dr
Valley Village, CA 91607-3830
Phone
(818) 763-1212
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Matteo Renato Muti II, PH.D.NPI 1730283235
Title
Pre4Sident/Psycholoist
Phone
(818) 763-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 004454 CA
Community/Behavioral Health Agency 251S00000X 004454 CA Primary
Community/Behavioral Health Agency 251S00000X ZP173 CA

Addresses

Primary practice location

12214 Riverside Dr
Valley Village, CA 91607-3830

Mailing address

12214 Riverside Dr
Valley Village, CA 91607-3830
Phone (818) 763-1212

National Provider Directory

National Provider Directory

Locations

12214 Riverside Dr
Valley Village, CA 91607
Phone (818) 755-6750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1679878771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073830",
            "telephone_number": "818-763-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 RIVERSIDE DR",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073830",
            "telephone_number": "818-763-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTEO R MUTI,JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "MUTI",
        "authorized_official_first_name": "MATTEO",
        "authorized_official_middle_name": "RENATO",
        "authorized_official_title_or_position": "PRE4SIDENT/PSYCHOLOIST",
        "authorized_official_telephone_number": "818-763-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CA",
            "license": "004454",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "004454",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "ZP173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.