Active NPI
Matthew J Flynn, PSY.D.
- Clinical Psychologist
- Winchester, MA
National Provider Identifier
1295975092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8986
- Practice address
- 955 Main St Ste 105
Winchester, MA 01890-4300 - Phone
- (978) 482-1991
- NPI assigned
- Mar 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8986 | MA | Primary |
Addresses
Primary practice location
955 Main St Ste 105
Winchester, MA 01890-4300
Mailing address
117 Phillips CMN
North Andover, MA 01845-4047
Phone (978) 482-7991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31378 | Other | MA | DATE OF BIRTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8986 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Mental Performance Coaching LLC | Current | Accepting new patients | |
| Child and Family Psychological Services, PLLC | Clinical | Past | Accepting new patients |
| Psychological Care Associates, P.C. | Clinical | Past | Accepting new patients |
Locations
955 Main St
Ste 105
Winchester, MA 01890
Phone (781) 488-6163
Organizations & group practices 3
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.
-
- Psychologist
- Winchester, MA
- NPI 1730672577
-
- Clinical Psychologist
- Woburn, MA
- NPI 1194770479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1295975092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 PHILLIPS CMN",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018454047",
"telephone_number": "978-482-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 MAIN ST STE 105",
"city": "WINCHESTER",
"state": "MA",
"postal_code": "018904300",
"telephone_number": "978-482-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "MATTHEW",
"middle_name": "J",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-06",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8986",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DATE OF BIRTH",
"identifier": "31378",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.