Jenny M Matthai, ED.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P1753 Issued in TN

Practice address

571 Watsonwood Dr
Nashville, TN 37211-5320

Phone

(615) 604-7000

NPI assigned

Oct 19, 2006

Last updated

Jun 24, 2011By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1043392269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 WATSONWOOD DRIVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37211",
            "telephone_number": "615-604-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 WATSONWOOD DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115320",
            "telephone_number": "615-604-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHAI",
        "first_name": "JENNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "HSP 1753",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Katz, MD, PC
• Milad Matta, MD
• Alicia Mattachione, OTR/L, CLT
• Matter Health of Alabama LLC
• Tiffany Teal Mattera, DPT
• Matthew 25, Inc. (M25)
• Matthew Speyer, M.D., F.a.C.S.
• Matthew Walker Comprehensive Health Center, Inc
• Matthew Walker Comprehensive Health Center, Inc
• Amy Matthews

• Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.