Sandra Virda Matthews, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10575 Issued in FL

Practice address

1393 Alligator Dr
Panacea, FL 32346-5113

Phone

(513) 378-7000

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 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

Practice roles

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

• Dr. Sandra V. Matthews

  • Clinical Psychologist
  • Panacea, FL
  • NPI 1790423309
  NPD Authorized official

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1023779071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 ALLIGATOR DR",
            "city": "PANACEA",
            "state": "FL",
            "postal_code": "323465113",
            "telephone_number": "513-378-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 ALLIGATOR DR",
            "city": "PANACEA",
            "state": "FL",
            "postal_code": "323465113",
            "telephone_number": "513-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "SANDRA",
        "middle_name": "VIRDA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P5342",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "USPS",
            "affiliation": "N",
            "endpointDescription": "MAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "USPS",
            "address_1": "1393 Alligator Dr",
            "city": "Panacea",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323465113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindylee Calaluca's Forgotten Coast Podiatry & Happy Feet Boutique
• Dr. Sandra V. Matthews
• Kathleen Jensen Hinchee, LCSW
• Kate Jensen LCSW
• Ashley Marie Lentner, LMT
• North Florida Medical Centers Inc (Wakulla Medical Center)
• Takira Randolph, APRN
• Deliana Gonzalez Torres, MD

• Clinical Psychologist in Panacea, FL
• Providers in Panacea, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.