Matthew Tyler Davis, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

281597 Issued in KY

Practice address

95 S Laurel Rd Ste 1
London, KY 40744-8300

Phone

(606) 770-5086

NPI assigned

Sep 8, 2021

Last updated

May 22, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartstrings Mental Health PLLC

  dba Heartstrings Mental Health & Wellness, PLLC

  • Family Nurse Practitioner
  • London, KY
  • NPI 1629648704

  Psychologist

  NPD

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1356010862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "middle_name": "TYLER",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "271738",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "281597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100773860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Earl Daniels
• Tiffany Cara Daugherty
• Rachel Davenport-Campbell, APRN
• Amanda Denise Davidson, TCM
• Charles Eugene Davis III, PA
• Mikala Day
• Rebecca Ann Day, FNP
• Holly P. De la Pena, PA-C
• Anthony A Decarlo, D.C.
• Johnnie Sue Dell, APRN

• Psychologist in London, KY
• Providers in London, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.