Active NPI
Matthew Alexander, PHD
- Psychologist
- Charlotte, NC
National Provider Identifier
1508897828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1053
- Practice address
- 1018 East Blvd
Suite 3
Charlotte, NC 28203-5803 - Phone
- (704) 371-3070
- NPI assigned
- Jul 5, 2006
- Last updated
- Sep 6, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1053 | NC | Primary |
Addresses
Primary practice location
1018 East Blvd
Suite 3
Charlotte, NC 28203-5803
Mailing address
1018 East Blvd
Suite 3
Charlotte, NC 28203-5803
Phone (704) 371-3070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000258 | Medicaid | NC |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1508897828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 EAST BLVD",
"address_2": "SUITE 3",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035803",
"telephone_number": "704-371-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 EAST BLVD",
"address_2": "SUITE 3",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035803",
"telephone_number": "704-371-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000258",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.