Individual provider Active NPI

Trina Paris Redmond-Matz, PH.D.

  • Counseling Psychologist
  • Frostburg, MD
National Provider Identifier
1184873622
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
04660 Issued in MD
Practice address
6 S Water St Apt B
Frostburg, MD 21532-1791
Phone
(301) 759-6319
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 04660 MD Primary

Addresses

Primary practice location

6 S Water St Apt B
Frostburg, MD 21532-1791

Mailing address

6 S Water St Apt B
Frostburg, MD 21532-1791
Phone (301) 759-6319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20100112000658 MD Practitioner - Clinical Psychologist 8921149949 Practice locations: Frostburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 S Water St
Apt B
Frostburg, MD 21532-1791
Phone (301) 759-6319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04660MDMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Committed to Change, P.C. CurrentSince Sep 3, 2013 Accepting new patients

Locations

420 Chinquapin Round Rd
Ste 21
Annapolis, MD 21401
Phone (410) 990-1811

200 Glenn St
Ste 302
Cumberland, MD 21502
Phone (240) 580-1919

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1184873622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S WATER ST APT B",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321791",
            "telephone_number": "301-759-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S WATER ST APT B",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215321791",
            "telephone_number": "301-759-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND-MATZ",
        "first_name": "TRINA",
        "middle_name": "PARIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "04660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frostburg, MD

Sources for this page

Verify at the official NPI Registry.