MEDICARE: ALEXIS MATTIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	027817	NY

General Provider Information

NPI Number	:	1538010574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS MATTIA

Provider Business Mailing Address
First Line	:	384 17TH ST APT 2R
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-6123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	451 CLARKSON AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2054
Country	:	US
Telephone Number	:	718-245-4133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

Similar Medicare Providers

1538898937 — ADAM BRILL
Practice Location Address:

451 CLARKSON AVE
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-2931
Practice Fax:

1174474373 — HOPE ELIZABETH MANION PA-C
Practice Location Address:

451 CLARKSON AVE
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-3131
Practice Fax:

1912907221 — ELIZABETH GUILLAUME CRNA
Practice Location Address:

451 CLARKSON AVE , ANESTHESIA DEPARTMENT
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-4502
Practice Fax:

1891789160 — DR. IVAN VELICKOVIC M.D.
Practice Location Address:

451 CLARKSON AVE
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-3325
Practice Fax: 718-245-3054

1821083098 — PETER PEACOCK MD
Practice Location Address:

451 CLARKSON AVE , MEDICAL DIRECTOR'S OFFICE - B-1147
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-3921
Practice Fax:

1457323859 — DR. SHANTHA GANESAN MD
Practice Location Address:

451 CLARKSON AVE
BROOKLYN, NY
11203-2054

Practice Phone: 718-245-4409
Practice Fax: 718-245-5544

Directions to “ ALEXIS MATTIA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.