Matthew Robert Stoker

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94027478 Issued in CA

Practice address

2135 Pine St
Redding, CA 96001-2690

Phone

(530) 722-9957

NPI assigned

Jun 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Creekside Counseling Center Inc

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1194750547
  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1285200121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491750",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960491750",
            "telephone_number": "530-722-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 PINE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012690",
            "telephone_number": "530-722-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOKER",
        "first_name": "MATTHEW",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94027478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Stockdale
• Laura A Stockdale, APCC PHD
• Darell Eugene Stockton Lewis, MA
• Laura Melissa Stockton, APCC
• Ariella Stogner
• Sarah Ann Stokes, LVN II
• Courtney Noel Stone, BA
• Heather Lenore Stone, PA
• Luke M. Stone, TFC PARENT
• Marjeanne Louise Stone, M-RAS, CADC II, NCAC

• Clinical Psychologist in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.