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TERESA MATTUTAT
NPI 1801636576
Counselor - Addiction (Substance Use Disorder) in Deer Park, NY

Active since May 29, 2024
770 GRAND BLVD, DEER PARK, NY 11729(631) 392-4357 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teresa Mattutat NPPES

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

TERESA MATTUTAT (NPI 1801636576) is an individual addiction (substance use disorder) provider in Deer Park, New York and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1801636576
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTERESA MATTUTAT
Location Address770 GRAND BLVDDeer Park, NY 11729-5750
Mailing Address24 Cold Spring Hills RdHuntington, NY 11743-5104 · (516) 635-6254
Phone(631) 392-4357
Sole ProprietorNo
Enumeration DateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1801636576 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
770 GRAND BLVD, Deer Park, NY 11729
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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.

MARIA CRISTINA LIGUORI LCSW
Social Worker (Clinical)
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357
NICOLETTE ZARCONE
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
JOSEPH DEL VALLE CASAC
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
SUSAN ZALESKI
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
GERALD MCCLARY
Counselor (Addiction (Substance Use Disorder))
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
TERESA BLANDO CASAC-T
Counselor
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (646) 801-0617
MRS. GLORIA SOPHIA BEAN CRPA
Peer Specialist
770 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 392-4357
BEHAVIORAL ENHANCEMENT & SUBSTANCE ABUSE MEDICINE TREATMENT PLLC
Community/Behavioral Health
770 GRAND BLVD, SUITE 17
DEER PARK, NY 11729
Suffolk County (631) 392-4357

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 Teresa Mattutat's NPI number?

The NPI number for Teresa Mattutat is 1801636576. It was assigned to this individual provider in the NPPES registry on May 29, 2024.

Where is Teresa Mattutat located?

Teresa Mattutat practices at 770 Grand Blvd, Deer Park, NY 11729. The listed phone number is (631) 392-4357.

What is Teresa Mattutat'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 Teresa Mattutat was last updated on May 29, 2024. 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.