Beverly J Matthews, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

3517 Carnoustie Dr
Springfield, IL 62712

Phone

(217) 529-4851

NPI assigned

Sep 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A and E Behavioral Health Care Associates PCGroup PAC ID 6709893936, 2 clinicians

Decatur Psychiatry LTDGroup PAC ID 8426065186, 4 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Decatur Psychiatry LTD

  • Psychiatry Physician
  • Decatur, IL
  • NPI 1770638686
  Medicare reassignment Care Compare group NPD
• A & E Behavioral Health Care Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1023171006
  Medicare reassignment Care Compare group
• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  Medicare reassignment NPD
• Decatur Counseling Center, LLC

  • Clinical Social Worker
  • Decatur, IL
  • NPI 1548136583
  NPD (past)
• Decatur Psychological Associates PC

  • Counselor
  • Decatur, IL
  • NPI 1184732745
  NPD (past)
• Gene a Brodland LCSW, LLC

  • Community/Behavioral Health Agency
  • Springfield, IL
  • NPI 1528466430
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558463760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2416",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625242416",
            "telephone_number": "217-825-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 CARNOUSTIE DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62712",
            "telephone_number": "217-529-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "BEVERLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delanee Peyton Mathon
• Megan Parks Maton, PT, DPT
• Sophia Matos, MD
• Matt Vandermolen DDS PC (Advanced Dental Care of Springfield)
• Matthew Q English IV LCSW Ryt LLC
• Frances Marie Matthews, MD
• Matticks Medcon LLC
• Donna Maria Matticks, RN
• Roderick L Matticks, M.D.
• Carlene Mattimore, M.S., L.C. P.C.

• Psychologist in Springfield, IL
• Providers in Springfield, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.