Miriam Richter Matz, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

5117 Issued in NJ

Practice address

545 Beckett Rd
Suite 207
Swedesboro, NJ 08085-1547

Phone

(856) 467-1000

Fax

(856) 467-1150

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pennsville Counseling Associates, L.L.C.Group PAC ID 3971567355, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsville Counseling Associates, L.L.C.

  • Psychologist
  • Swedesboro, NJ
  • NPI 1376756577
  Medicare reassignment Care Compare group NPD
• Kenneth B Goldberg & Associates

  • Clinical Neuropsychologist
  • Richboro, PA
  • NPI 1134270382
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1154472132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HUMPHREYS AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701116",
            "telephone_number": "856-467-1000",
            "fax_number": "856-467-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 BECKETT RD",
            "address_2": "SUITE 207",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851547",
            "telephone_number": "856-467-1000",
            "fax_number": "856-467-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZ",
        "first_name": "MIRIAM",
        "middle_name": "RICHTER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "PS015665",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NJ",
            "license": "5117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irwin Luy, MD
• M Leyman Company
• Aishah Mailley, PHARMD
• Lindsey Mara, DNP
• Karrie Marino, WHNP
• Jerome Wesley McCalla
• Colleen McKee
• Asia McNeil, LAMFT
• Jessica B McShane, DPT
• Michelle Leyman & Associates

• Clinical Neuropsychologist in Swedesboro, NJ
• Providers in Swedesboro, NJ by specialty
• Clinical Neuropsychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.