Individual provider Active NPI

Matthew C Parsley, PSYD, LPC

  • Psychologist
  • Hamburg, PA
National Provider Identifier
1528499795
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS019023 Issued in PA
Practice address
427 Windsor St
Hamburg, PA 19526-1341
Phone
(484) 665-3977
Fax
(484) 665-3268
NPI assigned
Dec 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011613 PA
Psychologist 103T00000X PS019023 PA Primary

Addresses

Primary practice location

427 Windsor St
Hamburg, PA 19526-1341

Mailing address

427 Windsor St
Hamburg, PA 19526-1341
Phone (484) 678-7473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211012002197 PA Practitioner - Clinical Psychologist 2860890423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

427 Windsor St
Hamburg, PA 19526-1341
Phone (484) 665-3977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC011613PAMDProfessional Counselor
PS019023PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Psychological & Behavioral Health CurrentSince Sep 1, 2021 Accepting new patients

Locations

427 Windsor St
Hamburg, PA 19526
Phone (484) 665-3977

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": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1528499795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 WINDSOR ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261341",
            "telephone_number": "484-678-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 WINDSOR ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261341",
            "telephone_number": "484-665-3977",
            "fax_number": "484-665-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSLEY",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYD, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011613",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS019023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.