Organization Active NPI

Stephen L Matney PC

  • Psychiatry Physician
  • Shelbyville, IN
National Provider Identifier
1396938858
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
01036908 Issued in IN
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200872620AMedicaidIN

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.