Individual provider Active NPI

Matthew McEachern, M.D.

  • Child & Adolescent Psychiatry Physician
  • Austin, TX
National Provider Identifier
1275899833
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101259961 Issued in VA
Practice address
114 W 7TH St Ste 900
Austin, TX 78701-3013
Phone
(188) 828-5226
Fax
(434) 924-5149
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 0101259961 VA Primary

Addresses

Primary practice location

114 W 7TH St Ste 900
Austin, TX 78701-3013

Mailing address

114 W 7TH St Ste 900
Austin, TX 78701-3013
Phone (188) 828-5226

Other practice location 1

1215 Lee St
800623
Charlottesville, VA 22908-0816
Phone (434) 924-5408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171002003326 VA Practitioner - Psychiatry 3476781253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in Shreveport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
New York, NY 10087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Regional Community Services Board CurrentSince Sep 25, 2017 Accepting new patients
Southside Behavioral Health CurrentSince Jul 25, 2017 Accepting new patients

Locations

24 Clay St
Martinsville, VA 24112
Phone (276) 632-7128

424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936

22280 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 632-7128

Organizations & group practices 2

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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1275899833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST STE 900",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013013",
            "telephone_number": "188-828-5226",
            "fax_number": "434-924-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 7TH ST STE 900",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787013013",
            "telephone_number": "188-828-5226",
            "fax_number": "434-924-5149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St",
            "address_2": "800623",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229080816",
            "country_code": "US",
            "telephone_number": "434-924-5408",
            "fax_number": "434-924-5149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEACHERN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "VA",
            "license": "0101259961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.