Individual provider Active NPI

Deborah Matthews, PHD

  • Clinical Psychologist
  • Stamford, CT
National Provider Identifier
1578838512
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002222 Issued in CT
Practice address
91 Strawberry Hill Ave
Suite 140
Stamford, CT 06902-2762
Phone
(203) 904-4218
NPI assigned
Mar 8, 2012
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 022773 NY
Clinical Psychologist 103TC0700X 002222 CT Primary

Addresses

Primary practice location

91 Strawberry Hill Ave
Suite 140
Stamford, CT 06902-2762

Mailing address

91 Strawberry Hill Ave
Suite 140
Stamford, CT 06902-2762
Phone (203) 904-4218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160609002378 CT Practitioner - Clinical Psychologist 4587954151 Reassigns benefits to 1 organization
Practice locations: Stamford, CT
I20181214001849 NY Practitioner - Clinical Psychologist 4587954151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1867 Summer St
FL 2
Stamford, CT 06905-5016
Phone (203) 906-9501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
022773NYMDOccupational Therapist
002222CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Psychological Services, PC Clinical CurrentSince Oct 21, 2018 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Oct 21, 2018 Accepting new patients
CT Behavioral Health Services, PC Clinical CurrentSince Apr 5, 2016 Accepting new patients

Locations

128 Cedar Ave
Waterbury, CT 06705
Phone (203) 757-9271

71 Raymond Rd
West Hartford, CT 06107
Phone (203) 232-4398

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1578838512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVE",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022762",
            "telephone_number": "203-904-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 STRAWBERRY HILL AVE",
            "address_2": "SUITE 140",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022762",
            "telephone_number": "203-904-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "DEBORAH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022773",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.