Active NPI
Thomas Vincent Matkovic, M.D.
- Psychoanalyst
- Rockville, MD
National Provider Identifier
1497093215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- DO8014
- Practice address
- 11656 Danville Dr
Rockville, MD 20852-3752 - Phone
- (301) 881-7047
- NPI assigned
- Jan 29, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | DO8014 | MD | Primary |
Addresses
Primary practice location
11656 Danville Dr
Rockville, MD 20852-3752
Mailing address
11656 Danville Dr
Rockville, MD 20852-3752
Phone (301) 881-7047
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO8014 | MD | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359417600000",
"number": "1497093215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11656 DANVILLE DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523752",
"telephone_number": "301-881-7047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11656 DANVILLE DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523752",
"telephone_number": "301-881-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATKOVIC",
"first_name": "THOMAS",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-29",
"last_updated": "2013-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "MD",
"license": "DO8014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.