Provider Demographics
NPI:1386698595
Name:MATTHEW JOSEPH HILFER
Entity type:Organization
Organization Name:MATTHEW JOSEPH HILFER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HILFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-223-3893
Mailing Address - Street 1:29525 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:440-223-3893
Mailing Address - Fax:216-464-5593
Practice Address - Street 1:29525 CHAGRIN BLVD
Practice Address - Street 2:SUITE 308
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:440-223-3893
Practice Address - Fax:216-464-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5730103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
9357071Medicare UPIN