Dr. Matt C. Rebeck, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

20041439A Issued in IN

Legal business name

DR. MATT C. REBECK, LLC

Practice address

815 John St Ste 135
Evansville, IN 47713-2746

Phone

(812) 236-1911

Fax

(812) 682-6124

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matt Rebeck, ED.DNPI 1881116390

Title

Owner

Phone

(812) 236-1911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matt Carson Rebeck, ED.D.

  • Psychologist
  • Evansville, IN
  • NPI 1881116390
  NPD (past) Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517788800000",
    "number": "1396244489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "NEW HARMONY",
            "state": "IN",
            "postal_code": "476310038",
            "telephone_number": "812-236-1911",
            "fax_number": "812-682-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 JOHN ST STE 135",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477132746",
            "telephone_number": "812-236-1911",
            "fax_number": "812-682-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATT C. REBECK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A",
        "authorized_official_last_name": "REBECK",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-236-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IN",
            "license": "20041439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Karl L. Lamb, LLC
• Dr. Robert W. Seay & Assoc. P.C.
• Dr.S Ashley and Rouch, LLP
• Charlene Ann Drake, LCSW
• Michael Drake, MD
• Kathryn Drye, MA, BCBA

• Adolescent and Children Mental Health Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Adolescent and Children Mental Health Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.