Kathryn Matuliewich, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP030660 Issued in PA

Practice address

237 W Lancaster Ave Ste 215
Devon, PA 19333-1585

Phone

(610) 267-2468

NPI assigned

Sep 24, 2024

Last updated

Aug 15, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

P360 Care Services PLLC Dba Psych 360Group PAC ID 0244624633, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• P360 Care Services PLLC Dba Psych 360

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaver, PA
  • NPI 1750058202

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Lumara Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Devon, PA
  • NPI 1568386357
  NPD (past) Authorized official
• Subbio Center for Plastic Surgery

  • Plastic Surgery Physician
  • Newtown Square, PA
  • NPI 1013311661

  Single Specialty

  NPD

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1043037690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 W LANCASTER AVE STE 215",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331585",
            "telephone_number": "610-267-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W LANCASTER AVE STE 215",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331585",
            "telephone_number": "610-267-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULIEWICH",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP030660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Barnard Mancano, M.A., CCC-A
• Sarah Manley, LPC
• Nicole L Marchese
• Tara Leilani Marshall, OTR/L
• Ignacia Elizabeth Mastroddi, CNA
• Kristina Robyn May
• Sally Ann McAfee, M.ED.
• Ellen McAliney
• Brittany A McCabe, LPN
• Kerry McCann

• Psychiatric/Mental Health Nurse Practitioner in Devon, PA
• Providers in Devon, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.