Organization Active NPI

Jonathan Mattice Family Therapy Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fremont, CA
National Provider Identifier
1689447716
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JONATHAN MATTICE FAMILY THERAPY CORPORATION
Practice address
2450 Peralta Blvd Ste 214
Fremont, CA 94536-3826
Phone
(719) 789-5307
NPI assigned
Oct 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Jonathan David Mattice, LMFTNPI 1841643152
Title
Ceo
Phone
(719) 789-5307

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2450 Peralta Blvd Ste 214
Fremont, CA 94536-3826

Mailing address

33688 Valley View Dr
Evergreen, CO 80439-7820
Phone (707) 217-3672

Other practice location 1

2401 E Warren Ave Apt 9
Denver, CO 80210-4837
Phone (707) 217-3672

Other names 1

  • Jonathan Mattice Therapy Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

2450 Peralta Blvd
Ste 214
Fremont, CA 94536
Phone (510) 925-0906

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1689447716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33688 VALLEY VIEW DR",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397820",
            "telephone_number": "707-217-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 PERALTA BLVD STE 214",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363826",
            "telephone_number": "719-789-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 E Warren Ave Apt 9",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802104837",
            "country_code": "US",
            "telephone_number": "707-217-3672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONATHAN MATTICE FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "MATTICE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-789-5307",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Mattice Therapy Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.