Active NPI
Judith Mathews, MFT
- Marriage & Family Therapist
- Reno, NV
National Provider Identifier
1073767158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 884
- Practice address
- 4747 Caughlin Pkwy
Ste. #11
Reno, NV 89519-0906 - Phone
- (775) 324-1316
- Fax
- (775) 329-5563
- NPI assigned
- Nov 16, 2008
- Last updated
- Nov 16, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 884 | NV | Primary |
Addresses
Primary practice location
4747 Caughlin Pkwy
Ste. #11
Reno, NV 89519-0906
Mailing address
4747 Caughlin Pkwy
Ste. #11
Reno, NV 89519-0906
Phone (775) 324-1316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 8, 2024 through Jan 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0884 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226793600000",
"number": "1073767158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 CAUGHLIN PKWY",
"address_2": "STE. #11",
"city": "RENO",
"state": "NV",
"postal_code": "895190906",
"telephone_number": "775-324-1316",
"fax_number": "775-329-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 CAUGHLIN PKWY",
"address_2": "STE. #11",
"city": "RENO",
"state": "NV",
"postal_code": "895190906",
"telephone_number": "775-324-1316",
"fax_number": "775-329-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWS",
"first_name": "JUDITH",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-16",
"last_updated": "2008-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.