Active NPI
Alexis Katherine Matusiewicz, PH.D.
- Psychologist
- Amherst, NY
National Provider Identifier
1144839358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023687-01
- Practice address
- 85 Bryant Woods S
Amherst, NY 14228-3604 - Phone
- (716) 689-3333
- Fax
- (716) 689-9695
- NPI assigned
- Jul 24, 2020
- Sex
- Female
- 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 | 023687-01 | NY | Primary |
Addresses
Primary practice location
85 Bryant Woods S
Amherst, NY 14228-3604
Mailing address
85 Bryant Woods S
Amherst, NY 14228-3604
Phone (716) 689-3333
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023687-01 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1144839358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 BRYANT WOODS S",
"city": "AMHERST",
"state": "NY",
"postal_code": "142283604",
"telephone_number": "716-689-3333",
"fax_number": "716-689-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BRYANT WOODS S",
"city": "AMHERST",
"state": "NY",
"postal_code": "142283604",
"telephone_number": "716-689-3333",
"fax_number": "716-689-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSIEWICZ",
"first_name": "ALEXIS",
"middle_name": "KATHERINE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023687-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.