Active NPI
Carrie Elizabeth Mathews, PSYD
- Psychologist
- Virginia Beach, VA
National Provider Identifier
1043450877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810003596
- Practice address
- 2373 Madison Ave
Virginia Beach, VA 23455 - Phone
- (757) 652-9177
- NPI assigned
- Mar 6, 2009
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810003596 | VA | Primary |
Addresses
Primary practice location
2373 Madison Ave
Virginia Beach, VA 23455
Mailing address
2373 Madison Ave
Virginia Beach, VA 23455
Phone (757) 652-9177
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003596 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1043450877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2373 MADISON AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23455",
"telephone_number": "757-652-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 MADISON AVE",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23455",
"telephone_number": "757-652-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "CARRIE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810003596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.