Active NPI
Amanda Matthews, MA,LPA,HSP-PA,CSOTS
- Psychologist
- Albemarle, NC
National Provider Identifier
1003946054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 350 Pee Dee Ave
Albemarle, NC 28001-4932 - Phone
- (704) 986-1500
- NPI assigned
- Mar 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
350 Pee Dee Ave
Albemarle, NC 28001-4932
Mailing address
9106 Sandpiper Dr
Charlotte, NC 28277-5518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3726 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419379200000",
"number": "1003946054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9106 SANDPIPER DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282775518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PEE DEE AVE",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280014932",
"telephone_number": "704-986-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "AMANDA",
"credential": "MA,LPA,HSP-PA,CSOTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-07",
"last_updated": "2014-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.