Mountain Therapy Collaborative
NPI 1053825505ActiveOrganization· Psychologist, Group Psychotherapy· South Lake Tahoe, CA
Psychologist, Group Psychotherapy in South Lake Tahoe, California, registered in NPPES in November 2017. The authorized official on file is Matthew Wong, M.A., PSY.D., Owner.
Overview
| NPI | 1053825505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2017 |
| Last updated in NPPES | Nov 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Group Psychotherapy Primary | 103TP2701X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Occupational Therapy Assistant | 224Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|