Individual provider Active NPI

Matthew Aaron Vickers, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1013494566
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP138232 Issued in TX
Practice address
7707 San Jacinto PL Ste 300
Plano, TX 75024-3377
Phone
(214) 227-1300
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP138232 TX Primary

Addresses

Primary practice location

7707 San Jacinto PL Ste 300
Plano, TX 75024-3377

Mailing address

7707 San Jacinto PL Ste 300
Plano, TX 75024-3377
Phone (214) 227-1300

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP138232TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Behavioral Health Systems, PLLC CurrentSince Oct 9, 2022 Accepting new patients
Figtree Mental Health Services Current Accepting new patients
Texas Behavioral Health Systems PA PastSince Mar 9, 2020 Accepting new patients
Melanie Nielsen Pmhnp PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

7707 San Jacinto Pl
Ste 300
Plano, TX 75024
Phone (214) 227-1300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1013494566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 SAN JACINTO PL STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243377",
            "telephone_number": "214-227-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 SAN JACINTO PL STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243377",
            "telephone_number": "214-227-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.