Mathias Mitembo
Nurse Practitioner, Psych/Mental Health in Waltham, Massachusetts
1427874775- Practice location
- 28 Middlesex Cir Apt 14, Waltham, MA 02452-6246
- Phone
- 617-901-3057
- Fax
- —
- Last updated
- November 10, 2026
Mathias Mitembo is a Nurse Practitioner, Psych/Mental Health based in Waltham, MA. Mathias Mitembo practices in Waltham, MA. The NPI Number for Mathias Mitembo is 1427874775 and holds a License No. RN2388683 (MA). The current practice location address for Mathias Mitembo is 28 Middlesex Cir Apt 14, Waltham, MA 02452-6246 and can be reached out via phone at 617-901-3057.
Provider Profile Details
- NPI Number
- 1427874775
- Provider Name
- Mathias Mitembo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 28 Middlesex Cir Apt 14, Waltham, MA 02452-6246
- Phone Number
- 617-901-3057
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 2, 2024
- Last Update Date
- November 10, 2026
- Certification Date
- November 10, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 28 Middlesex Cir Apt 14
Waltham, MA 02452-6246 - City
- Waltham
- State
- Massachusetts
- Zip
- 02452-6246
- Phone Number
- 617-901-3057
Provider Business Mailing Address Details
- Address
- 28 Middlesex Cir Apt 14
Waltham, MA 02452-6246 - City
- Waltham
- State
- MA
- Zip
- 02452-6246
- Phone Number
- 617-901-3057
License Information
- License Number
- RN2388683
- License State
- MA
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mathias Mitembo?
The NPI number of Mathias Mitembo is 1427874775. It was assigned on December 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Mathias Mitembo?
Mathias Mitembo is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2388683.
Where does Mathias Mitembo practice?
The practice location is 28 Middlesex Cir Apt 14, Waltham, MA 02452-6246. The office can be reached at 617-901-3057 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427874775 directly on the NPPES registry website.