Michele Matzko, M.S.,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP21734 Issued in CA

Practice address

13101 Hartfield Ave
San Diego, CA 92130-1511

Phone

(858) 834-0601

NPI assigned

Sep 28, 2014

Sex

Female

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Rehabcare

  • Rehabilitation Clinic/Center
  • San Diego, CA
  • NPI 1396156865
  NPD (past)

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1982007506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11544 COMPASS POINT DR N",
            "address_2": "#29",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921268548",
            "telephone_number": "727-599-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 HARTFIELD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921301511",
            "telephone_number": "858-834-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKO",
        "first_name": "MICHELE",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP21734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary O'Hern Matulich
• William James Matulich, PH.D.
• Julia Maturska
• Kellie Johnson Matusalem, MS, PA-C
• Marta Dominika Matysek, PHARMD
• Cortney Mauer
• Edvina Mauer, M.S., CF-SLP
• Quirisa Kealohalani Ave Mauga
• Jason Scott Maughan
• Brittney Maul

• Speech-Language Pathologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2014; 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.