Matthew Anthony Zavala, BA PSY, MA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

11666 Issued in CA

Practice address

908 Taylorville Rd Ste 204
Grass Valley, CA 95949-9632

Phone

(530) 771-6845

NPI assigned

Mar 2, 2010

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

Credentials

Bachelor of Arts, Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spencer Campbell Marriage and Family Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Grass Valley, CA
  • NPI 1114552981
  NPD
• Odyssey House

  • Mental Illness Community Based Residential Treatment Facility
  • Nevada City, CA
  • NPI 1558586214
  NPD (past)

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1821311077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TAYLORVILLE RD STE 205",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959499632",
            "telephone_number": "530-334-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TAYLORVILLE RD STE 204",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959499632",
            "telephone_number": "530-771-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "MATTHEW",
        "middle_name": "ANTHONY",
        "credential": "BA PSY, MA LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "11666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuba Docs Medical Group, Inc
• Yuba River Charter School
• Yubarise Recovery Homes
• Jessica Zamudio
• Queene Carla Oabel Zaporteza
• Claudia Zdremtan
• Madeline Jean Zea, PA
• Matthew Zealear, M.D.
• Zeischegg Chiropractic Kare
• Nancy Lynn Zeisler

• Marriage & Family Therapist in Grass Valley, CA
• Providers in Grass Valley, 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 Feb 10, 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.