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MATTHEW FANETTI
NPI 1124488119
Psychologist - Clinical in Springfield, MO

Active since March 03, 2016
3219 S WESTWOOD AVE, SPRINGFIELD, MO 65807(417) 882-9423 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2023, Mar 3, 2016 (2 updates tracked since 2016).

About Matthew Fanetti NPPES

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

MATTHEW FANETTI (NPI 1124488119) is an individual clinical provider in Springfield, Missouri, licensed in California (32382) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1124488119
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMATTHEW FANETTI
Location Address3219 S WESTWOOD AVESpringfield, MO 65807-5624
Mailing Address7280 Timber Ridge CtReno, NV 89523-7165 · (775) 225-8287
Phone(417) 882-9423
Sole ProprietorYes
Enumeration DateMarch 3, 2016
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1124488119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · 32382✔ Licensed in NV · PY0962
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3219 S WESTWOOD AVE, Springfield, MO 65807
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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 Matthew Fanetti's NPI number?

The NPI number for Matthew Fanetti is 1124488119. It was assigned to this individual provider in the NPPES registry on March 3, 2016.

Where is Matthew Fanetti located?

Matthew Fanetti practices at 3219 S Westwood Ave, Springfield, MO 65807. The listed phone number is (417) 882-9423.

What is Matthew Fanetti's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Matthew Fanetti was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.