Active NPI
Matthew McEachern, M.D.
- Child & Adolescent Psychiatry Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101259961
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Regional Community Services Board | Current | Accepting new patients | |
| Southside Behavioral Health | Current | 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.
-
- Community/Behavioral Health Agency
- Martinsville, VA
- NPI 1699754010
-
- Community/Behavioral Health Agency
- Clarksville, VA
- NPI 1700890761
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.
- 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.