Individual provider Active NPI

Chelsea Lynn Matteson, PSYD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1093293441
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005383 Issued in AZ
Practice address
21803 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-7444
Phone
(480) 630-0593
NPI assigned
Jul 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 005383 AZ Primary

Addresses

Primary practice location

21803 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-7444

Mailing address

21803 N Scottsdale Rd Ste 105
Scottsdale, AZ 85255-7444
Phone (480) 630-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 30, 2021 through Jun 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matteson & Sanchez Psychological Services PLLC Clinical CurrentSince Jul 2, 2023 Accepting new patients

Locations

21803 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 630-0593

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1093293441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557444",
            "telephone_number": "480-630-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21803 N SCOTTSDALE RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557444",
            "telephone_number": "480-630-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTESON",
        "first_name": "CHELSEA",
        "middle_name": "LYNN",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2023-06-27",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "005383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.