Mountain Therapy Collaborative
NPI 1053825505 · Group Psychotherapy Psychologist · South Lake Tahoe, CA
Mountain Therapy Collaborative is a Group Psychotherapy Psychologist organization in South Lake Tahoe, CA (NPI 1053825505).
Provider details
- NPI number
- 1053825505
- Entity type
- Organization
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Wong, Owner(415) 806-0275
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Mailing address
Registry dates
- Enumerated
- 2017-11-20
- Last updated
- 2017-11-20
Frequently asked questions
- What is Mountain Therapy Collaborative's NPI number?
- Mountain Therapy Collaborative's National Provider Identifier (NPI) is 1053825505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Therapy Collaborative?
- Mountain Therapy Collaborative is classified in the NPPES registry as Group Psychotherapy Psychologist (Behavioral Health & Social Service Providers).
- Where is Mountain Therapy Collaborative located?
- Mountain Therapy Collaborative's practice location on file with NPPES is 870 Emerald Bay Rd Ste 303, South Lake Tahoe, CA 96150-9400.
- What is Mountain Therapy Collaborative's phone number?
- The practice phone number listed in the NPPES registry for Mountain Therapy Collaborative is (415) 806-0275.
- Who is the authorized official for Mountain Therapy Collaborative?
- The authorized official listed on Mountain Therapy Collaborative's NPPES record is Matthew Wong, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Therapy Collaborative's NPI active?
- Yes — Mountain Therapy Collaborative's NPI (1053825505) is active in the NPPES registry as of the last update on 2017-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.