Mateo Lodge, Inc.
NPI 1477695377 · Mental Illness Community Based Residential Treatment Facility · Redwood City, CA
Mateo Lodge, Inc. is a Mental Illness Community Based Residential Treatment Facility organization in Redwood City, CA (NPI 1477695377).
Provider details
- NPI number
- 1477695377
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Mateo Lodge, Inc.
- Organization subpart
- Yes
- Authorized official
- Ian Adamson, Ceo(650) 363-8125
- License
- 410508908 (CA)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense 410508908 (CA)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Other name
- Wally'S Place
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2020-08-04
- Certified
- 2020-08-04
Frequently asked questions
- What is Mateo Lodge, Inc.'s NPI number?
- Mateo Lodge, Inc.'s National Provider Identifier (NPI) is 1477695377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mateo Lodge, Inc.?
- Mateo Lodge, Inc. is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Mateo Lodge, Inc. located?
- Mateo Lodge, Inc.'s practice location on file with NPPES is 695 5th Ave, Redwood City, CA 94063-3818.
- What is Mateo Lodge, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mateo Lodge, Inc. is (650) 568-9006.
- Who is the authorized official for Mateo Lodge, Inc.?
- The authorized official listed on Mateo Lodge, Inc.'s NPPES record is Ian Adamson, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mateo Lodge, Inc.'s NPI active?
- Yes — Mateo Lodge, Inc.'s NPI (1477695377) is active in the NPPES registry as of the last update on 2020-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.