Matrix Clinical Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

26NJ00141700 Issued in NJ

Legal business name

MATRIX CLINICAL SERVICES

Practice address

1632 Route 38
Ste. a
Lumberton, NJ 08048-2923

Phone

(609) 702-5884

Fax

(609) 702-5882

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bevlin Regenia Duncan, PMHNP-BC

Title

Owner

Phone

(609) 702-5884

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Hulon B. Newsome, PSY.D.

  • Clinical Psychologist
  • Lumberton, NJ
  • NPI 1518052760
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1447498084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 ROUTE 38",
            "address_2": "STE. A",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482923",
            "telephone_number": "609-702-5884",
            "fax_number": "609-702-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 ROUTE 38",
            "address_2": "STE. A",
            "city": "LUMBERTON",
            "state": "NJ",
            "postal_code": "080482923",
            "telephone_number": "609-702-5884",
            "fax_number": "609-702-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "BEVLIN",
        "authorized_official_middle_name": "REGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-702-5884",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "26NJ00141700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "122248AOY",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1326234097",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153061",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Marie Markley, PT
• Jennifer Martin
• Matthew Massaro, DPT
• M. Alysia Mastrangelo, PT
• Mayank Mathur, M.D.
• Jennifer Mary May, R.PH
• Maybridge Health Care Services
• Natasha Tamika McDaniels
• Larina McDonald
• Ryan McDonald, PT, DPT

• Community/Behavioral Health Agency in Lumberton, NJ
• Providers in Lumberton, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.