Active NPI
Matthew C Waltman
- Behavior Analyst
- Colorado Springs, CO
National Provider Identifier
1861984098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4190 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8075 - Phone
- (719) 632-4455
- NPI assigned
- Jun 4, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 0 | CO | Primary |
Addresses
Primary practice location
4190 E Woodmen Rd Ste 100
Colorado Springs, CO 80920-8075
Mailing address
4500 E Jewell Ave Apt 231
Denver, CO 80222-4637
Phone (719) 439-5893
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528070400000",
"number": "1861984098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 E JEWELL AVE APT 231",
"city": "DENVER",
"state": "CO",
"postal_code": "802224637",
"telephone_number": "719-439-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4190 E WOODMEN RD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809208075",
"telephone_number": "719-632-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALTMAN",
"first_name": "MATTHEW",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-04",
"last_updated": "2018-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.