Mathew Thomas Wood

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-IZVNMY Issued in CA

Practice address

19401 Susan Way
Sonora, CA 95370-9266

Phone

(209) 588-7018

NPI assigned

Sep 8, 2026

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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

• Old Oak Ranch Recovery

  dba The Refuge Recovery Center

  • Case Manager/Care Coordinator
  • Sonora, CA
  • NPI 1871191569
  NPD (past)

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1881504447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19401 SUSAN WAY, SONORA CA 95370",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-588-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19401 SUSAN WAY",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709266",
            "telephone_number": "209-588-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATHEW",
        "middle_name": "THOMAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-IZVNMY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krysta Lee Wolken, NP-C
• Wong Center Inc (Deborah Wong, MD HEALTH CENTER)
• Deborah F Wong, MD
• Johnson Kar Tsun Wong, M.D.
• Karen Elizabeth Wood, LMFT
• David E. Woodhams, D.D.S.
• Woods Creek Psychological Group, Apc
• Charles Wright, M.D.
• Christy Anne Wright, F.N.P.
• William Chenwei Wu, D.O.

• Peer Specialist in Sonora, CA
• Providers in Sonora, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.