Individual provider Active NPI

Maria B. Mathias, M.D.

  • Child & Adolescent Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1205977378
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35-07-3415-M Issued in NY
Practice address
3085 Woodman Dr Ste 300
Dayton, OH 45420-1159
Phone
(937) 376-8700
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-07-3415-M OH
Child & Adolescent Psychiatry Physician 2084P0804X 35-07-3415-M NY Primary

Addresses

Primary practice location

3085 Woodman Dr Ste 300
Dayton, OH 45420-1159

Mailing address

452 W Market St
Xenia, OH 45385-2815
Phone (937) 376-8700

Other practice location 1

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 293-8300

Other identifiers 1

IdentifierTypeStateIssuer
2158981MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100824001208 OH Practitioner - PsychiatryPractitioner - Other (Physician) 9537283726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Cincinnati College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TCN Behavioral Health Services, Inc.Group PAC ID 8224011135, 20 clinicians

Practice addresses (Care Compare)

3085 Woodman Dr
Suite 300
Dayton, OH 45420-1159
Phone (937) 376-8700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TCN Behavioral Health Services, Inc. CurrentSince Jun 22, 2021 Accepting new patients
South Suburban Mental Health Group Psychiatry Past Accepting new patients
TCN Behavioral Health Services, Inc Psychiatry PastSince Nov 24, 2024 Accepting new patients

Locations

1825 Commerce Center Blvd
Fairborn, OH 45324
Phone (937) 376-8755

3085 Woodman Dr
Ste 300
Kettering, OH 45420

452 W Market St
Xenia, OH 45385
Phone (937) 376-8744

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/tcn/r4/

Organizations & group practices 3

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1205977378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 W MARKET ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852815",
            "telephone_number": "937-376-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 WOODMAN DR STE 300",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201159",
            "telephone_number": "937-376-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 Kettering Blvd",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391983",
            "country_code": "US",
            "telephone_number": "937-293-8300",
            "fax_number": "937-534-1579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHIAS",
        "first_name": "MARIA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-07-3415-M",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "35-07-3415-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158981",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.