Active NPI
Stephen L Matney PC
- Psychiatry Physician
- Shelbyville, IN
National Provider Identifier
1396938858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 01036908
- Legal business name
- STEPHEN L MATNEY PC
- Practice address
- 629 S Miller St
Shelbyville, IN 46176-1931 - Phone
- (317) 733-9904
- Fax
- (317) 733-9956
- NPI assigned
- Aug 19, 2007
- Last updated
- May 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen L Matney, MD
- Title
- Owner
- Phone
- (317) 733-9904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 01036908 | IN | Primary |
Addresses
Primary practice location
629 S Miller St
Shelbyville, IN 46176-1931
Mailing address
629 S Miller St
Shelbyville, IN 46176-1931
Phone (317) 733-9904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200872620A | Medicaid | IN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Anderson, IN
- NPI 1770697062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494201600000",
"number": "1396938858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 S MILLER ST",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761931",
"telephone_number": "317-733-9904",
"fax_number": "317-733-9956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "629 S MILLER ST",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461761931",
"telephone_number": "317-733-9904",
"fax_number": "317-733-9956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN L MATNEY PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-19",
"last_updated": "2017-05-08",
"status": "A",
"authorized_official_last_name": "MATNEY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-733-9904",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "01036908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200872620A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.