Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mateo Lodge, Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1477695377

Mateo Lodge, Inc is a Mental Illness Community Based Residential Treatment Facility in Redwood City, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

695 5th Ave
Redwood City, CA 94063-3818
Phone: (650) 568-9006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X · Licence 410508908 (CA)

Record details

NPI number1477695377
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMateo Lodge, Inc
Authorized official Ian Adamson — Ceo · (650) 363-8125
Other names Wally'S Place
NPI enumeratedFebruary 14, 2007
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address695 5th Ave, Redwood City, CA 94063-3818

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