Active NPI
Matthew C Lowry, LPP
- Psychologist
- St Matthews, KY
National Provider Identifier
1104071307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 168059
- Practice address
- 120 Sears Ave Ste 202
St Matthews, KY 40207-5072 - Phone
- (502) 265-6790
- NPI assigned
- Dec 2, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 168059 | KY | Primary |
Addresses
Primary practice location
120 Sears Ave Ste 202
St Matthews, KY 40207-5072
Mailing address
108 Olympia Dr
Bardstown, KY 40004-2111
Phone (502) 286-0556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100408230 | Medicaid | KY |
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 |
|---|---|---|---|
| 168059 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1104071307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OLYMPIA DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042111",
"telephone_number": "502-286-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SEARS AVE STE 202",
"city": "ST MATTHEWS",
"state": "KY",
"postal_code": "402075072",
"telephone_number": "502-265-6790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "MATTHEW",
"middle_name": "C",
"credential": "LPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-02",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "168059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100408230",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Matthews, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.