Matthew Dejohn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD432541 Issued in PA

Practice address

1611 Peach St Ste 105
Erie, PA 16501-2120

Phone

(814) 823-5640

Fax

(814) 240-6890

NPI assigned

Sep 14, 2007

Last updated

Apr 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erie Psychiatric Associates, LLC

  • Psychiatry Physician
  • Erie, PA
  • NPI 1578710554
  Authorized official Same address or phone
• Presque Isle Psychiatric Associates

  • Psychiatry Physician
  • Erie, PA
  • NPI 1326242439
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1548455363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4226 SASSAFRAS ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165083053",
            "telephone_number": "814-440-6867",
            "fax_number": "814-240-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 PEACH ST STE 105",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165012120",
            "telephone_number": "814-823-5640",
            "fax_number": "814-240-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJOHN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD432541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey A Defranc, DO
• Jay Deimel, MD
• Joseph F Deimel, M.D.
• Kevin Deiner
• Elizabeth Dejaeghere, PA-C
• Mia Isabelle Dela Merced
• Daniel Delaney
• Sarah K Delfraino, PHARMD
• Chelsie Dell
• Jason Dell'Aquila, D.O.

• Psychiatry Physician in Erie, PA
• Providers in Erie, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.