Active NPI
Raymonda D Matheka, PSYD
- Clinical Psychologist
- Gilbert, AZ
National Provider Identifier
1073090452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-004978
- Practice address
- 2730 S Val Vista Dr Ste 137
Gilbert, AZ 85295-1681 - Phone
- (480) 239-8167
- NPI assigned
- Jul 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY-004978 | AZ | Primary |
Addresses
Primary practice location
2730 S Val Vista Dr Ste 137
Gilbert, AZ 85295-1681
Mailing address
PO Box 9106
Surprise, AZ 85374-0135
Phone (480) 682-4352
Other practice location 1
5220 N Dysart Rd Bldg C
Litchfield Park, AZ 85340-3045
Phone (623) 244-9179
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-004978 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1073090452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9106",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853740135",
"telephone_number": "480-682-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S VAL VISTA DR STE 137",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951681",
"telephone_number": "480-239-8167"
}
],
"practiceLocations": [
{
"address_1": "5220 N Dysart Rd Bldg C",
"address_purpose": "LOCATION",
"city": "Litchfield Park",
"state": "AZ",
"postal_code": "853403045",
"country_code": "US",
"telephone_number": "623-244-9179",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEKA",
"first_name": "RAYMONDA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-27",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-004978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.