Provider Demographics
NPI:1801038963
Name:FRANCIS J. MATESE, PH.D. INC.
Entity Type:Organization
Organization Name:FRANCIS J. MATESE, PH.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MATESE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-331-3832
Mailing Address - Street 1:4395 VALLEY FORGE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2824
Mailing Address - Country:US
Mailing Address - Phone:440-331-3832
Mailing Address - Fax:216-476-9166
Practice Address - Street 1:20525 CENTER RIDGE RD
Practice Address - Street 2:SUITE 608
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3437
Practice Address - Country:US
Practice Address - Phone:440-331-3832
Practice Address - Fax:216-476-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH84177101YA0400X
OH4765103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0969519Medicaid
OH0969519Medicaid