Matteson School District 162

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MATTESON SCHOOL DISTRICT 162

Practice address

3625 215TH St
Matteson, IL 60443-2707

Phone

(708) 748-0100

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Blondean Y Davis

Title

Superintendent

Phone

(708) 748-0100

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaimie L Goodley

  • School Psychologist
  • Olympia Fields, IL
  • NPI 1881245868
  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1891986873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 215TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 215TH ST",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432707",
            "telephone_number": "708-748-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTESON SCHOOL DISTRICT 162",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BLONDEAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "708-748-0100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa L Mathis, ATC
• Olufemi Matimoju
• Matteson MRI Inc
• Matteson Orthodontics MDPC
• Matteson Orthodontics MDPC
• Marcus Matthews, OTR/L
• Maxim Healthcare Services, Inc.
• Mays & Associates Full Court Program LLC
• Mays and Associates, Inc.
• Kalani McCain

• Local Education Agency (LEA) in Matteson, IL
• Providers in Matteson, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.