Active NPI
Lynne Matte
- Clinical Psychologist
- New York, NY
National Provider Identifier
1174796866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023366
- Practice address
- 511 6TH Ave # 7259
New York, NY 10011-8436 - Phone
- (347) 201-3165
- NPI assigned
- Apr 2, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023366 | NY | Primary |
Addresses
Primary practice location
511 6TH Ave # 7259
New York, NY 10011-8436
Mailing address
2196 Thrird Ave
2007
New York, NY 11003-2518
Phone (917) 523-2165
Other practice location 1
First Avenue and 27th Street, CD247
Bellevue Hospital
New York, NY 10016
Phone (212) 562-3296
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 |
|---|---|---|---|
| 023366 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1174796866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2196 THRIRD AVE",
"address_2": "2007",
"city": "NEW YORK",
"state": "NY",
"postal_code": "110032518",
"telephone_number": "917-523-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 6TH AVE # 7259",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118436",
"telephone_number": "347-201-3165"
}
],
"practiceLocations": [
{
"address_1": "First Avenue and 27th Street, CD247",
"address_2": "Bellevue Hospital",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "10016",
"country_code": "US",
"telephone_number": "212-562-3296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATTE",
"first_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-02",
"last_updated": "2022-11-22",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.