MATISON BROOKE PRYOR RADT, CCMA
NPI 1891339479
Counselor - Addiction (Substance Use Disorder) in King City, CA

Active since November 06, 2019
641 BROADWAY ST, KING CITY, CA 93930(831) 525-8101 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matison Brooke Pryor Radt, Ccma NPPES

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

MATISON BROOKE PRYOR RADT, CCMA (NPI 1891339479) is an individual addiction (substance use disorder) provider in King City, California and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1891339479
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMATISON BROOKE PRYORCredential: RADT, CCMA
Location Address641 BROADWAY STKing City, CA 93930-3231
Mailing Address45040 Royal DrKing City, CA 93930-9704 · (661) 865-3905
Sole ProprietorNo
Enumeration DateNovember 6, 2019
NPI 1891339479 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
641 BROADWAY ST, King City, CA 93930

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.

Student in an Organized Health Care Education/Training Program
641 BROADWAY ST
KING CITY, CA 93930
Counselor (Addiction (Substance Use Disorder))
641 BROADWAY ST
KING CITY, CA 93930
Counselor (Addiction (Substance Use Disorder))
641 BROADWAY ST
KING CITY, CA 93930
Counselor (Addiction (Substance Use Disorder))
641 BROADWAY ST
KING CITY, CA 93930
Substance Abuse Rehabilitation Facility
641 BROADWAY ST
KING CITY, CA 93930
Counselor (Addiction (Substance Use Disorder))
641 BROADWAY ST
KING CITY, CA 93930
Counselor (Addiction (Substance Use Disorder))
641 BROADWAY ST
KING CITY, CA 93930
Social Worker
641 BROADWAY ST
KING CITY, CA 93930

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 Matison Pryor's NPI number?

The NPI number for Matison Pryor is 1891339479. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Matison Pryor located?

Matison Pryor practices at 641 Broadway St, King City, CA 93930. The listed phone number is (831) 525-8101.

What is Matison Pryor'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 Matison Pryor was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.