Individual provider Active NPI

James Raymond Matter, PSY.D.

  • Clinical Psychologist
  • Naperville, IL
National Provider Identifier
1427127034
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.008340 Issued in IL
Practice address
475 River Bend Rd
Suite 304
Naperville, IL 60540-5255
Phone
(630) 778-9050
Fax
(630) 778-9054
NPI assigned
Nov 7, 2006
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.008340 IL Primary

Addresses

Primary practice location

475 River Bend Rd
Suite 304
Naperville, IL 60540-5255

Mailing address

475 River Bend Rd
Suite 304
Naperville, IL 60540-5255
Phone (630) 778-9050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.008340ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Matter Clinical Services, P.C. Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1427127034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RIVER BEND RD",
            "address_2": "SUITE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405255",
            "telephone_number": "630-778-9050",
            "fax_number": "630-778-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 RIVER BEND RD",
            "address_2": "SUITE 304",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405255",
            "telephone_number": "630-778-9050",
            "fax_number": "630-778-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTER",
        "first_name": "JAMES",
        "middle_name": "RAYMOND",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.008340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.