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MR. CHRISTOPHER MATTIMORE CASAC
NPI 1205259868
Counselor - Addiction (Substance Use Disorder) in Medford, NY

Active since January 31, 2014
3251 ROUTE 112, BLDG. 9, STE. 2, MEDFORD, NY 11763(631) 451-6007(631) 297-8121 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Christopher Mattimore Casac NPPES

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

MR. CHRISTOPHER MATTIMORE CASAC (NPI 1205259868) is an individual addiction (substance use disorder) provider in Medford, New York, licensed in New York (23778) and active in the NPI registry since January 2014.

NPPES Registry Identity

NPI1205259868
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. CHRISTOPHER MATTIMORECredential: CASAC
Location Address3251 ROUTE 112, BLDG. 9, STE. 2Medford, NY 11763-1446
Mailing Address10 W 21st StDeer Park, NY 11729-3918 · (631) 949-1257
Phone(631) 451-6007
Fax(631) 297-8121
Sole ProprietorYes
Enumeration DateJanuary 31, 2014
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1205259868 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 NY · 23778
3251 ROUTE 112, Medford, NY 11763
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Other Providers at the Same Location NPPES 17

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

EMILY KLEIN LMSW
Social Worker
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DIANA VOLLARO SLP LLC
Clinic/Center (Hearing and Speech)
3251 ROUTE 112, BLDG. 9, SUITE 3
MEDFORD, NY 11763
Suffolk County (631) 732-4794
GLADYS KNOWLES
Case Manager/Care Coordinator
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
MS. CABRINA MARIE RIGGIO LMHC, CASAC
Counselor (Mental Health)
3251 ROUTE 112, BLDG 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
HELEN SIMON
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
JOANNA E KELLY LCSW
Social Worker (Clinical)
3251 ROUTE 112, BUILDING #9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DOLORES M GARRY LMSW
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
SAIMA SATTAR KHUSBU
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007

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 Christopher Mattimore's NPI number?

The NPI number for Christopher Mattimore is 1205259868. It was assigned to this individual provider in the NPPES registry on January 31, 2014.

Where is Christopher Mattimore located?

Christopher Mattimore practices at 3251 Route 112 Bldg. 9, Ste. 2, Medford, NY 11763. The listed phone number is (631) 451-6007.

What is Christopher Mattimore'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 Christopher Mattimore was last updated on February 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.