Matthew Potak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3100 Blue Heron St
Safety Harbor, FL 34695-5304

Phone

(727) 504-6539

NPI assigned

Sep 21, 2009

Sex

Male

Sole proprietor

No

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

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.

• Behavior Analysis Solutions LLC

  • Behavior Analyst
  • Clearwater, FL
  • NPI 1376291450
  NPD
• Behavior Analysis Solutions

  • Community/Behavioral Health Agency
  • Palm Harbor, FL
  • NPI 1578867941
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1962736132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 BLUE HERON ST",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BLUE HERON ST",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346955304",
            "telephone_number": "727-504-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTAK",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Andrew Peternell Jr., LMT
• Eric Peterson, DO
• Pharmacy4Humanity
• Savannah Philips
• Renee Pinheiro, PA-C, MPAS
• Ailin Pournouri, DO
• Mona Prabhu, M.D.
• Practical Sage, Clinical Social Work Services
• Laura Aleksandra Pravs, LMT
• Praxis Wellness LLC

• Behavior Analyst in Safety Harbor, FL
• Providers in Safety Harbor, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.