Active NPI
Christine Marie Matschke, PSYD, LP
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1043424567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4906
- Practice address
- 6601 W Thomas Rd
Phoenix, AZ 85033-5700 - Phone
- (602) 243-7277
- Fax
- (602) 247-9742
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4906 | AZ | Primary |
Addresses
Primary practice location
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Mailing address
2702 N 3Rd St Ste 4020
Phoenix, AZ 85004-4608
Phone (602) 323-3492
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4906 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1043424567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 N 3RD ST STE 4020",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850044608",
"telephone_number": "602-323-3492",
"fax_number": "602-323-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 W THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850335700",
"telephone_number": "602-243-7277",
"fax_number": "602-247-9742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSCHKE",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "PSYD, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.