Dina Matic, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3943 Issued in CO

Practice address

5350 Manhattan Cir Ste 210B
Boulder, CO 80303-4236

Phone

(720) 432-1316

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275941080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 MANHATTAN CIR STE 210B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034236",
            "telephone_number": "720-432-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 MANHATTAN CIR STE 210B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034236",
            "telephone_number": "720-432-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2249 Willard Loop Dr",
            "address_2": "Center for Community, S440",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803090104",
            "country_code": "US",
            "telephone_number": "303-735-5889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIC",
        "first_name": "DINA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Mathern
• Brian Mathews
• Lydia J Mathis, LPC
• Lynda Mathis, PH.D.
• Catherine Mathon, MBA MA, LPC
• Kristen Elizabeth Matoba, DPT
• Maria L Matos, MD
• Taya J. Matoy
• Mollie Matson
• Gordon T Matsuda, MD

• Clinical Psychologist in Boulder, CO
• Providers in Boulder, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.