Individual provider Active NPI

Ashley Nicole Matskevich

  • Psychiatry Physician
  • Brookline, MA
National Provider Identifier
1447677752
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
269828 Issued in MA
Practice address
1330 Beacon St Ste 205
Brookline, MA 02446-3202
Phone
(617) 329-9856
Fax
(617) 545-0920
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 269828 MA Primary

Addresses

Primary practice location

1330 Beacon St Ste 205
Brookline, MA 02446-3202

Mailing address

1330 Beacon St Ste 205
Brookline, MA 02446-3202
Phone (617) 329-9856

Other names 1

  • Ashley Nicole Lawler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 21, 2025 through Oct 21, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269828MAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1447677752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST STE 205",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463202",
            "telephone_number": "617-329-9856",
            "fax_number": "617-545-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BEACON ST STE 205",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024463202",
            "telephone_number": "617-329-9856",
            "fax_number": "617-545-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSKEVICH",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "269828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "LAWLER",
            "middle_name": "NICOLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookline, MA

Sources for this page

Verify at the official NPI Registry.