Active NPI
Julian Matra
- Clinical Psychologist
- Brooklyn, NY
National Provider Identifier
1225595648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P132759
- Practice address
- 906 E New York Ave Apt 3B
Brooklyn, NY 11203-5057 - Phone
- (617) 407-1473
- NPI assigned
- Feb 21, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P132759 | NY | Primary |
| Behavior Analyst | 103K00000X |
Addresses
Primary practice location
906 E New York Ave Apt 3B
Brooklyn, NY 11203-5057
Mailing address
906 E New York Ave Apt 3B
Brooklyn, NY 11203-5057
Other practice location 1
144 Washington St # 2
Brighton, MA 02135-4324
Phone (617) 407-1473
Other practice location 2
144 Washington St # 2
Brighton, MA 02135-4324
Phone (617) 407-1473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P132759 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1225595648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 E NEW YORK AVE APT 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 E NEW YORK AVE APT 3B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035057",
"telephone_number": "617-407-1473"
}
],
"practiceLocations": [
{
"address_1": "144 Washington St # 2",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021354324",
"country_code": "US",
"telephone_number": "617-407-1473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "144 Washington St # 2",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021354324",
"country_code": "US",
"telephone_number": "617-407-1473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATRA",
"first_name": "JULIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-21",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "P132759",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.