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

Mr. Christopher Mattimore, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205259868

Mr. Christopher Mattimore, CASAC is an Addiction (Substance Use Disorder) Counselor in Medford, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

3251 Route 112 Bldg 9 Ste 2
Medford, NY 11763-1446
Phone: (631) 451-6007
Fax: (631) 297-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 23778 (NY)

Record details

NPI number1205259868
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorYes
NPI enumeratedJanuary 31, 2014
Last updated in NPPESFebruary 7, 2014
Mailing address10 W 21st St, Deer Park, NY 11729-3918

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