Spencer J'Cardale Mattox

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

144309 Issued in CA

Practice address

601 Telegraph Canyon Rd Apt 355
Chula Vista, CA 91910-6588

Phone

(619) 252-2336

NPI assigned

Apr 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1801459417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 PETAL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921146932",
            "telephone_number": "619-252-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TELEGRAPH CANYON RD APT 355",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919106588",
            "telephone_number": "619-252-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTOX",
        "first_name": "SPENCER",
        "middle_name": "J'CARDALE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "144309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Angel Matos, CATC-I
• Mariko Matsuda
• David Mitsuru Matsunaga, RPH
• Kayla Rebekah Matthes
• Matthew Douglas Pugh, D.O.
• Andrea Mattson, RN
• Melida A Maughn, M.A.
• Shevette Laprail Maultsby, CMT, HHP
• Maung Aye DDS Inc
• Brittney Maupin

• Marriage & Family Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.