Provider Demographics
NPI:1033554076
Name:MATTHEW J. MAURIELLO, MA, P.C.
Entity Type:Organization
Organization Name:MATTHEW J. MAURIELLO, MA, P.C.
Other - Org Name:THE MAURIELLO GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MAURIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:814-934-7960
Mailing Address - Street 1:102 HAWTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3918
Mailing Address - Country:US
Mailing Address - Phone:814-934-7960
Mailing Address - Fax:
Practice Address - Street 1:139 W MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-2912
Practice Address - Country:US
Practice Address - Phone:814-934-7960
Practice Address - Fax:888-976-5828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-03
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty