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SHIRLEY A. MATT LISAC
NPI 1063569473
Counselor - Addiction (Substance Use Disorder) in Phoenix, AZ

Active since January 05, 2007
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1511(602) 263-1619 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shirley A. Matt Lisac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIRLEY A. MATT LISAC (NPI 1063569473) is an individual addiction (substance use disorder) provider in Phoenix, Arizona, licensed in Arizona (LISAC-0439) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1063569473
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSHIRLEY A. MATTCredential: LISAC
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1511 · Fax (602) 263-1619
Phone(602) 263-1511
Fax(602) 263-1619
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1063569473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in AZ · LISAC-0439
4212 N 16TH ST, Phoenix, AZ 85016
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Other Identifiers 2

Medicaid102999AZ
OtherAZ0913910AZ · Bcbsaz

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Matt's NPI number?

The NPI number for Shirley Matt is 1063569473. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Shirley Matt located?

Shirley Matt practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1511.

What is Shirley Matt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shirley Matt was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.