Noemi Perelman Mattis, JD, PHD

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

110430-2501 Issued in UT

Practice address

299 Federal Heights Cir
Salt Lake City, UT 84103-4491

Phone

(801) 363-4048

Fax

(801) 322-4568

NPI assigned

Nov 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1154574127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 FEDERAL HEIGHTS CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034491",
            "telephone_number": "801-363-4048",
            "fax_number": "801-322-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 FEDERAL HEIGHTS CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841034491",
            "telephone_number": "801-363-4048",
            "fax_number": "801-322-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "NOEMI",
        "middle_name": "PERELMAN",
        "name_prefix": "Dr.",
        "credential": "JD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "UT",
            "license": "110430-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Matthews, CSW, ASUDC
• Travis Matthews
• Deborah Lynn Mattingly, M.D., M.P.H.
• Shawna Mattingly
• Keli Mattinson
• Mattison Therapeutic Consulting and Counseling
• Megan Mattison
• Diane Marie Mattocks, PA-C, MPAS
• Grace Mele Matu
• Evelin Nicolle Matute

• Health Service Psychologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Health Service Psychologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.