Individual provider Active NPI

Nikaya Becker-Matero, PH.D.

  • Clinical Psychologist
  • New Hampton, NY
National Provider Identifier
1023421989
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
022972 Issued in NY
Practice address
2834 Route 17M BLDG 1
New Hampton, NY 10958-5011
Phone
(845) 374-8700
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Clinical Psychologist 103TC0700X 35SI00643900 NJ
Clinical Psychologist 103TC0700X 022972 NY Primary

Addresses

Primary practice location

2834 Route 17M BLDG 1
New Hampton, NY 10958-5011

Mailing address

2834 Route 17M BLDG 1
New Hampton, NY 10958-5011
Phone (845) 374-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00643900NJMDClinical Psychologist
022972NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1023421989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 ROUTE 17M BLDG 1",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "109585011",
            "telephone_number": "845-374-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2834 ROUTE 17M BLDG 1",
            "city": "NEW HAMPTON",
            "state": "NY",
            "postal_code": "109585011",
            "telephone_number": "845-374-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER-MATERO",
        "first_name": "NIKAYA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00643900",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hampton, NY

Sources for this page

Verify at the official NPI Registry.