Active NPI
Yarelis Matos, PSYD
- Psychologist
- Brockton, MA
National Provider Identifier
1568430445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 8034
- Practice address
- One Pearl Street
Suite 2000
Brockton, MA 02301-2865 - Phone
- (508) 894-8577
- Fax
- (508) 894-8578
- NPI assigned
- Mar 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 8034 | MA | Primary |
Addresses
Primary practice location
One Pearl Street
Suite 2000
Brockton, MA 02301-2865
Mailing address
One Pearl Street
Suite 2000
Brockton, MA 02301-2865
Phone (508) 894-8577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1859862 | Medicaid | MA |
Other names 1
- Yarelis Colon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8034 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568430445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE PEARL STREET",
"address_2": "SUITE 2000",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012865",
"telephone_number": "508-894-8577",
"fax_number": "508-894-8578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE PEARL STREET",
"address_2": "SUITE 2000",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023012865",
"telephone_number": "508-894-8577",
"fax_number": "508-894-8578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "YARELIS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "8034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1859862",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YARELIS",
"last_name": "COLON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.