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NAMITA MATTU
NPI 1073130506
Psychiatry & Neurology - Child & Adolescent Psychiatry in Charlestown, MA

Active since June 30, 2020PECOS Enrolled
275 MEDFORD ST APT 216, CHARLESTOWN, MA 02129(510) 289-0826 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Jun 30, 2020 (2 updates tracked since 2020).

About Namita Mattu NPPES

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

NAMITA MATTU (NPI 1073130506) is an individual child & adolescent psychiatry provider in Charlestown, Massachusetts, licensed in California (187312) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073130506
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameNAMITA MATTU
Location Address275 MEDFORD ST APT 216Charlestown, MA 02129-1989
Mailing Address275 Medford St Apt 216Charlestown, MA 02129-1989
Phone(510) 289-0826
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 30, 2020
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 2, 2023
✔ NPI 1073130506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · 187312
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
275 MEDFORD ST APT 216, Charlestown, MA 02129
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Namita Mattu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436561222
PECOS Enrollment IDI20250820004841
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Namita Mattu's NPI number?

The NPI number for Namita Mattu is 1073130506. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Namita Mattu located?

Namita Mattu practices at 275 Medford St Apt 216, Charlestown, MA 02129. The listed phone number is (510) 289-0826.

What is Namita Mattu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Namita Mattu enrolled in Medicare?

Yes. Namita Mattu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Namita Mattu was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.