NPIMap

Individual provider Active NPI

Matthew G. Hall, PHD

  • Clinical Neuropsychologist
  • Toledo, OH
National Provider Identifier
1174936900
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P.07854 Issued in OH
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-5040
NPI assigned
Jun 10, 2014
Last updated
Sep 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X P.07854 OH Primary

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave
Toledo, OH 43614-2595
Phone (419) 383-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210726001853 OH Practitioner - Clinical Psychologist 9436552601 Reassigns benefits to 2 organizations
I20241121002776 SD Practitioner - Clinical Psychologist 9436552601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

677 Cathedral Dr
Suite 201
Rapid City, SD 57701-7389
Phone (605) 755-5276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
671SDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Central Physicians CurrentSince Jul 1, 2021 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Oct 15, 2024 Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Oct 15, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc Current Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2021 Accepting new patients
University of Toledo Physicians LLC CurrentSince Aug 18, 2021 Accepting new patients

Locations

L4189
Columbus, OH 43260

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2130 W Central Ave
Toledo, OH 43606
Phone (419) 291-4590

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

677 Cathedral Dr
Ste 201
Rapid City, SD 57701
Phone (605) 755-5276

Interoperability endpoints

  • Direct secure messaging: mhall.176986@regionalhealth.sdhealthlink.net
  • Direct secure messaging: mhall220248@direct.promedica.org

Organizations & group practices 6

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

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1174936900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MATTHEW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "P.07854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.