IndividualActive
Matthew Gutstadt
NPI 1013660240 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Ft Lauderdale, FL
Provider details
- NPI number
- 1013660240
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- 000787000 (FL)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 000787000 (FL)
Residential Treatment Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
750 Ne 24th Way
Ft Lauderdale, FL 33304-3569
Phone: (954) 557-0319
Street-level locationGet directions
Mailing address
750 Ne 24th Way
Ft Lauderdale, FL 33304-3569
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-29
- Certified
- 2022-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.