Matthew D Stevens, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10783 Issued in MA

Practice address

576 State Street
Springfield, MA 01109-1234

Phone

(413) 781-6485

Fax

(413) 788-6925

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Key Program, Incorporated.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1306446059
  NPD
• The Key Program, Incorporated.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Springfield, MA
  • NPI 1508908229
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1518017177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 UPPER BEVERLY HLS",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892105",
            "telephone_number": "413-262-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 STATE STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011091234",
            "telephone_number": "413-781-6485",
            "fax_number": "413-788-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B. Holsten, MD, PC (Holsten, Wagner & Sommer Orthopedic Surgeons)
• Steven J Covici MD Facs PC
• Steven T. Berger MD PC (Baystate Eye Care)
• Elizabeth Stevens, CNM
• Maria Mae Stevens
• Michael E. Stevens, PA
• Richard A Stevens, M.D.
• Sarah Jane Stevens, PHARMD, RPH
• Stephanie Stevens, OTR
• Timothy Gage Stevens, MA

• Clinical Psychologist in Springfield, MA
• Providers in Springfield, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.