Individual provider Active NPI

Ulrike Mattern, MA LPA

  • Psychologist
  • Goldsboro, NC
National Provider Identifier
1114037272
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1500 Issued in NC
Practice address
201 Stevens Mill Rd
Cherry Hospital
Goldsboro, NC 27530-1056
Phone
(919) 731-3200
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1500 NC Primary

Addresses

Primary practice location

201 Stevens Mill Rd
Cherry Hospital
Goldsboro, NC 27530-1056

Mailing address

201 Stevens Mill Rd
Cherry Hospital
Goldsboro, NC 27530-1056
Phone (919) 731-3200

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1500NCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1114037272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STEVENS MILL RD",
            "address_2": "CHERRY HOSPITAL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301056",
            "telephone_number": "919-731-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 STEVENS MILL RD",
            "address_2": "CHERRY HOSPITAL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275301056",
            "telephone_number": "919-731-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "ULRIKE",
        "name_prefix": "Ms.",
        "credential": "MA LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.