Active NPI
Matteo R Muti,Jr
- Community/Behavioral Health Agency
- Valley Village, CA
National Provider Identifier
1679878771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 004454
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Valley Village, CA
- NPI 1730283235
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.