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MATTHEW WADA
NPI 1114654506
Counselor - Addiction (Substance Use Disorder) in Pasadena, CA

Active since August 04, 2022
1230 N MARENGO AVE, PASADENA, CA 91103(626) 633-2593 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2024, Aug 4, 2022 (2 updates tracked since 2022).

About Matthew Wada NPPES

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

MATTHEW WADA (NPI 1114654506) is an individual addiction (substance use disorder) provider in Pasadena, California, licensed in California (15530-RAC) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1114654506
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW WADA
Location Address1230 N MARENGO AVEPasadena, CA 91103-2217
Mailing Address1230 N Marengo AvePasadena, CA 91103-2217 · (626) 633-2593
Phone(626) 633-2593
Sole ProprietorNo
Enumeration DateAugust 4, 2022
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1114654506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 15530-RAC
Also ListedTechnicianTaxonomy 374700000X
1230 N MARENGO AVE, Pasadena, CA 91103
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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.

GRANDVIEW FOUNDATION, INC.
Substance Abuse Rehabilitation Facility
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MR. FERNANDO LODEVICO
Case Manager/Care Coordinator
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MRS. ANNA NUNEZ CATCII
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
RENEE ROCHELLE FREELAND CADC-II
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MORRIS KELLYBREW CADAC-CAS
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
LUIS ALFREDO NAVA
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
MR. ALFRED S MACIAS
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124
RENE REYES
Counselor (Addiction (Substance Use Disorder))
1230 N MARENGO AVE
PASADENA, CA 91103
Los Angeles County (626) 797-1124

Frequently Asked Questions

What is Matthew Wada's NPI number?

The NPI number assigned to this healthcare provider is 1114654506, enumerated as an "individual" on August 04, 2022.

Where is the provider located?

The provider is located at 1230 N MARENGO AVE PASADENA, CA 91103 and the phone number is (626) 633-2593.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).