Samara Matityahu, LCAT-LIMITED PERMIT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

315 Wyckoff Ave Ste 6
Brooklyn, NY 11237-5842

Phone

(718) 497-6090

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1790346351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 E 14TH ST FRNT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034111",
            "telephone_number": "646-770-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WYCKOFF AVE STE 6",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112375842",
            "telephone_number": "718-497-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATITYAHU",
        "first_name": "SAMARA",
        "credential": "LCAT-LIMITED PERMIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matilda Abiola Rehab Care LLC
• Abu Matin
• Malachi Matin, LMSW
• Tasnim Matin
• Amelie Aura Matisse
• Oksana Matkovska, RN
• Durga Prasad Matlapudi, MBBS
• Nicole Matles-Dean, LCSWR
• Jason Matloff
• Jubin Eghbali Matloubieh, MD

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.