Active NPI
Christopher Lewis Mathe, PHD
- Psychologist
- Gold River, CA
National Provider Identifier
1568756799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY25111
- Practice address
- 11344 Coloma Rd
Suite 435
Gold River, CA 95670-4457 - Phone
- (916) 709-1170
- NPI assigned
- Jun 6, 2011
- Last updated
- Sep 6, 2012
- Sex
- Male
- 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 | PSY25111 | CA | Primary |
Addresses
Primary practice location
11344 Coloma Rd
Suite 435
Gold River, CA 95670-4457
Mailing address
11344 Coloma Rd
Suite 435
Gold River, CA 95670-4457
Phone (916) 709-1170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2620 J St
Suite 1
Sacramento, CA 95816-4381
Phone (916) 838-0926
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25111 | CA | MD | Pulmonary Function Technologist Registered Respiratory Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Gold River, CA
- NPI 1003165846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1568756799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11344 COLOMA RD",
"address_2": "SUITE 435",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704457",
"telephone_number": "916-709-1170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11344 COLOMA RD",
"address_2": "SUITE 435",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704457",
"telephone_number": "916-709-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHE",
"first_name": "CHRISTOPHER",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-06",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY25111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.