J. Donald Matherne, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

#78 Issued in MS

Practice address

180B Debuys Rd Ste 202
Biloxi, MS 39531-4407

Phone

(228) 385-1827

Fax

(228) 385-1127

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013043041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD STE 202",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314407",
            "telephone_number": "228-385-1827",
            "fax_number": "228-385-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180B DEBUYS RD STE 202",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314407",
            "telephone_number": "228-385-1827",
            "fax_number": "228-385-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "J.",
        "middle_name": "DONALD",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "#78",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00110990",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Martino
• Thomas Harrell Mason Jr., D.D.S.
• Greer Perle Massey, MSW, LCSW
• Stefan Massong, PH.D.
• Molly Mather
• Jane Mattina, N.P.
• Leah Walling Mavromihalis, PHARM.D.
• Kimberly Maxwell, RN
• Kensley S May, LPC, NCC
• Rose Chantel Maye

• Psychologist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.