Organization Active NPI

Aleyamma Mathew M.D. Inc

  • Psychiatric Hospital
  • Claremont, CA
National Provider Identifier
1720107220
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
A41380 Issued in CA
Legal business name
ALEYAMMA MATHEW M.D. INC
Practice address
857 Deep Springs Dr
Claremont, CA 91711-1449
Phone
(909) 626-9790
Fax
(909) 626-9790
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aleyamma Mathew, M.D
Title
President
Phone
(909) 626-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X A41380 CA Primary

Addresses

Primary practice location

857 Deep Springs Dr
Claremont, CA 91711-1449

Mailing address

857 Deep Springs Dr
Claremont, CA 91711-1449
Phone (909) 626-9790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720107220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 DEEP SPRINGS DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111449",
            "telephone_number": "909-626-9790",
            "fax_number": "909-626-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 DEEP SPRINGS DR",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111449",
            "telephone_number": "909-626-9790",
            "fax_number": "909-626-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEYAMMA MATHEW M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "ALEYAMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CA",
            "license": "A41380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.