Mataya Robertson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3290 Issued in CT

Practice address

37 Glenbrook Rd Ste 3
Stamford, CT 06902-2913

Phone

(203) 693-4917

Fax

(203) 802-6271

NPI assigned

Dec 5, 2021

Sex

Female

Sole proprietor

Yes

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.

• Tabitha B. Fortt, M.D., LLC

  • Primary Care Clinic/Center
  • Stamford, CT
  • NPI 1235597741
  NPD
• Amy Albero LLC

  • Clinical Social Worker
  • Stamford, CT
  • NPI 1992230288
  NPD (past)
• Behavioral Health Center for Counseling & Learning, LLC

  • Professional Counselor
  • Middlebury, CT
  • NPI 1578788766
  NPD (past) Marriage & Family Therapist

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.

{
    "created_epoch": "1638662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1821756040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 GLENBROOK RD STE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022913",
            "telephone_number": "203-693-4917",
            "fax_number": "203-802-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GLENBROOK RD STE 3",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022913",
            "telephone_number": "203-693-4917",
            "fax_number": "203-802-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 East Ave Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515728",
            "country_code": "US",
            "telephone_number": "203-693-4917",
            "fax_number": "203-802-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MATAYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-05",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RM Anderson, Inc.
• Katharine Gardner Roach, MA
• Susan Robbins/Yarett, ND
• Robert M Yudell DDS MD LLC
• Lane Keiser Roberts, PA-C
• Marc Robin, MD
• Noel I Robin, MD
• Brianna Robinson, LCSW
• Christian Robinson, LBA
• Denise Alicia Robinson, FNP

• All providers in Stamford, CT
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.