Dana Nichole Matalon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23500 Issued in CA

Practice address

5030 J St Ste 200
Sacramento, CA 95819-3800

Phone

(916) 538-0093

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 22, 2024 through Feb 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1154445302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 795",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170795",
            "telephone_number": "916-538-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 J ST STE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193800",
            "telephone_number": "916-538-0093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 N Cottonwood St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "CA",
            "postal_code": "956952585",
            "country_code": "US",
            "telephone_number": "530-666-8630 x9546",
            "fax_number": "530-666-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATALON",
        "first_name": "DANA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Mata
• Francisco J Mata
• Theresa Ann Mata, MFCC
• Eunite Mataafa
• Plaxedes Dambudzo Matabah, NP
• Jacob Matalon, MD
• Satyen H. Matani, MD
• Jennie E Matays, MS, RN, CNS, CCRN
• Alan Mateer, HAD
• Stephanie N Mateev, M.D.

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.