Individual provider Active NPI

David Matuskey

  • Psychiatry Physician
  • Farmington, CT
National Provider Identifier
1134312671
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RESIDENT Issued in CT
Practice address
10 Talcott Notch Rd Ste 3E
Farmington, CT 06032-1800
Phone
(860) 679-6722
NPI assigned
Aug 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RESIDENT CT Primary

Addresses

Primary practice location

10 Talcott Notch Rd Ste 3E
Farmington, CT 06032-1800

Mailing address

10 Talcott Notch Rd Ste 3E
Farmington, CT 06032-1800
Phone (860) 679-6722

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 Medicine

State licenses

LicenseStateTypeSpecialty
RESIDENTCTMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: dmatuskey64379@direct.ynhh.org

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187395200000",
    "number": "1134312671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TALCOTT NOTCH RD STE 3E",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321800",
            "telephone_number": "860-679-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TALCOTT NOTCH RD STE 3E",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321800",
            "telephone_number": "860-679-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUSKEY",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "RESIDENT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2007; 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.