Dolores Jane Matthews, MA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2240 Issued in MN

Practice address

23 4TH Street SE
#202
Minneapolis, MN 55414-1090

Phone

(612) 379-8050

Fax

(612) 379-8069

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. D Jane Matthews Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1487832564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 4TH STREET SE",
            "address_2": "#202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141090",
            "telephone_number": "612-379-8050",
            "fax_number": "612-379-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 4TH STREET SE",
            "address_2": "#202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141090",
            "telephone_number": "612-379-8050",
            "fax_number": "612-379-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "DOLORES",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "2240",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MN",
            "license": "2240",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10946MA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1581490",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "D",
            "last_name": "MATTHEWS",
            "middle_name": "JANE",
            "prefix": "MS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Autumn I Mattfeld
• Matthew C. Spitzmueller, PLLC
• Angela L Matthews, CNNP
• Corey Ray Matthews, D.O.
• Daniel Trani Matthews, PT, DPT
• Jamie Matthews, DNP, RN-PHN
• Jeanette Nicole Matthews, LMFT
• Justin Matthews, MA
• Sarah Matthiesen
• Abimbola Adenike Matti, CNP

• Psychologist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.