Active NPI
Patrice Matthews
- Behavior Technician
- Philadelphia, PA
National Provider Identifier
1447820352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1010 N Hancock St
Philadelphia, PA 19123-2334 - Phone
- (267) 978-4305
- NPI assigned
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1010 N Hancock St
Philadelphia, PA 19123-2334
Mailing address
8434 Temple Rd
Philadelphia, PA 19150-1917
Phone (267) 338-7119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elevated Kids | Behavior Technician | Current | Accepting new patients |
Locations
1010 N Hancock St
Philadelphia, PA 19123
Phone (267) 538-4390
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1447820352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8434 TEMPLE RD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191501917",
"telephone_number": "267-338-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N HANCOCK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191232334",
"telephone_number": "267-978-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.