Heidi Maria Evjen Mattila

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06058 Issued in MD

Practice address

4405 E West Hwy Ste 411
Bethesda, MD 20814-4535

Phone

(202) 557-6713

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1417423963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 21ST ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365901",
            "telephone_number": "202-557-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 E WEST HWY STE 411",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144535",
            "telephone_number": "202-557-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Roeder Rd Ste 425",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104472",
            "country_code": "US",
            "telephone_number": "301-949-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTILA",
        "first_name": "HEIDI",
        "middle_name": "MARIA EVJEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas Junior Matthews II, LGPC
• Emily Matthews, DPT
• Mariah Alisia Matthews
• Merlyn D Matthews
• Michael Matthews, DPM
• Erin Odea Mattingly, M.A., CCC/SLP
• Max H Cohen MD CHTD
• Victoria Alexandra Maxon, DO
• Kimberley A Maxwell, D.O.
• Joseph William May, MD, MPH

• Clinical Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Psychologist in Maryland

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