Matthews Psychological and Family Services, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3953 Issued in NC

Legal business name

MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC

Practice address

1811 Sardis Road North
Suite 207
Charlotte, NC 28270

Phone

(704) 776-5584

Fax

(704) 845-6111

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Stephen Burgess Leary, PH.D.

Title

Licensed Psychologist and Owner

Phone

(704) 776-5584

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1275958399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 SARDIS ROAD NORTH",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28270",
            "telephone_number": "704-776-5584",
            "fax_number": "704-845-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 SARDIS ROAD NORTH",
            "address_2": "SUITE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28270",
            "telephone_number": "704-776-5584",
            "fax_number": "704-845-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "STEPHEN BURGESS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST AND OWNER",
        "authorized_official_telephone_number": "704-776-5584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3953",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NC",
            "license": "3953",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "NC",
            "license": "3953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI FOR OWNER, DR. MATTHEW BURGESS LEARY, PH.D.",
            "identifier": "1730397191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Matte, RBT
• Gabriella Matteo
• Taryn Mattern, RDN, LDN
• Matters of the Heart
• Deborah Faith Matthew, MD
• Alicia Krystal Matthews, OTR
• Brent D. Matthews, MD
• Christopher A Matthews, LMFT, LCAS, CCS
• Clifford Matthews Jr., LCSWA
• David C Matthews, M.D.

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.