Active NPI
Susan Matour, PSY.D.
- Clinical Psychologist
- Darby, PA
National Provider Identifier
1194903666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017084
- Practice address
- 1503 Lansdowne Ave
3008
Darby, PA 19023-1330 - Phone
- (610) 237-4554
- Fax
- (610) 237-2627
- NPI assigned
- Feb 6, 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 | PS017084 | PA | Primary |
Addresses
Primary practice location
1503 Lansdowne Ave
3008
Darby, PA 19023-1330
Mailing address
210 Locust St
Apt 15B
Philadelphia, PA 19106-3934
Phone (215) 928-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2026 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
C/O Ctr City Psychology PC
P O Box 22664
Philadelphia, PA 19110-9997
PO Box
Suite 22664
Philadelphia, PA 19110-2664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1194903666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 LOCUST ST",
"address_2": "APT 15B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191063934",
"telephone_number": "215-928-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 LANSDOWNE AVE",
"address_2": "3008",
"city": "DARBY",
"state": "PA",
"postal_code": "190231330",
"telephone_number": "610-237-4554",
"fax_number": "610-237-2627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOUR",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-06",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- 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.