Louis Philippe Mateus, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004214 Issued in VA

Practice address

5500 Holmes Run Pkwy
C4
Alexandria, VA 22304-2863

Phone

(703) 379-7350

Fax

(703) 379-7352

NPI assigned

Sep 30, 2010

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 25, 2018 through Jul 25, 2028

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Potomac Center Inc

  • Professional Counselor
  • Alexandria, VA
  • NPI 1457403099

  Clinical

  NPD (past)

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1053620575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S WHITING ST",
            "address_2": "501",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043656",
            "telephone_number": "703-639-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 HOLMES RUN PKWY",
            "address_2": "C4",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042863",
            "telephone_number": "703-379-7350",
            "fax_number": "703-379-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEUS",
        "first_name": "LOUIS",
        "middle_name": "PHILIPPE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Maria Mastakas, LCSW
• Jan L Master, CRNP
• Alayna Celistina Mata
• Renat Matalon, BCBA, LBA
• Somayah Mateen
• Liana E Matevosian, NP
• Geetha Rebecca Mathew, MD
• Jeffy Mary Mathew
• Aimee Mathews-Kurfis
• Lauren Kathryn Mathieu

• Clinical Psychologist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.