Individual provider Active NPI

Steven Mattis, PH.D.

  • Psychologist
  • White Plains, NY
National Provider Identifier
1285839324
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
003294-0 Issued in NY
Practice address
34 S Broadway
Suite 100
White Plains, NY 10601-4400
Phone
(914) 997-5151
Fax
(914) 997-0333
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 003294-0 NY Primary

Addresses

Primary practice location

34 S Broadway
Suite 100
White Plains, NY 10601-4400

Mailing address

34 S Broadway
Suite 100
White Plains, NY 10601-4400
Phone (914) 997-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 14, 2012 through Nov 14, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003294-0NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mattis & Luck Center for Neuropsychological Services LLP Psychologist Past Accepting new patients

Organizations & group practices 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285839324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY",
            "address_2": "SUITE 100",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-997-5151",
            "fax_number": "914-997-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S BROADWAY",
            "address_2": "SUITE 100",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106014400",
            "telephone_number": "914-997-5151",
            "fax_number": "914-997-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "003294-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.