| Matias Inc | |
|
1000 Washington St Michigan City IN 46360-4374 | |
| (219) 916-0239 | |
| (219) 809-9198 |
| Full Name | Matias Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1000 Washington St, Michigan City, Indiana |
| Authorized Official Name and Position | Reinaldo Matias (PRESIDENT, CLINICAL DIRECTOR) |
| Authorized Official Contact | 2199160239 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matias Inc 1400 Lake Shore Dr Stop 8 Michigan City IN 46360-2037 Ph: (219) 221-2375 | Matias Inc 1000 Washington St Michigan City IN 46360-4374 Ph: (219) 916-0239 |
| NPI Number | 1033749908 |
|---|---|
| Provider Enumeration Date | 01/20/2020 |
| Last Update Date | 01/20/2020 |
| Certification Date | 01/20/2020 |
| Medicare PECOS PAC ID | 7911335906 |
|---|---|
| Medicare Enrollment ID | O20200325003683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033749908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Reinaldo Matias |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801830641 PECOS PAC ID: 2668473893 Enrollment ID: I20070208000334 |
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