Jon S Matthew, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

822-057 Issued in WI

Practice address

161 Spring St
Westfield, WI 53964-9068

Phone

(608) 296-2139

Fax

(608) 296-1590

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northland Community Services Inc.Group PAC ID 4981514387, 3 clinicians

Practice addresses (Care Compare)

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 Philosophy

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.

• Northland Community Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westfield, WI
  • NPI 1215075296
  Medicare reassignment Care Compare group NPD Authorized official
• Northland Community Services Crisis

  • Community/Behavioral Health Agency
  • Westfield, WI
  • NPI 1699933853
  NPD (past) Authorized official
• Northland Community Services CSP

  • Community/Behavioral Health Agency
  • Westfield, WI
  • NPI 1285892224
  NPD (past) Authorized official
• Northland Community Services Inc

  • Clinical Psychologist
  • Westfield, WI
  • NPI 1700839644
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598899197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 SPRING ST",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539649068",
            "telephone_number": "608-296-2139",
            "fax_number": "608-296-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 SPRING ST",
            "city": "WESTFIELD",
            "state": "WI",
            "postal_code": "539649068",
            "telephone_number": "608-296-2139",
            "fax_number": "608-296-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEW",
        "first_name": "JON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "822-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39018800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Klar DDS LLC
• Lakeview Care Partners (Mill Pond 2)
• Lakeview Rehab at Home Inc
• Melinda Maier, M.S.S.W.
• Barbara L.S. Marr, P.T.
• Moundview Memorial Hospital & Clinics, Inc. (Gundersen Moundview Hospital and Clinics, Inc.)
• Northland Community Services Crisis
• Northland Community Services CSP
• Northland Community Services Inc
• Northland Community Services Inc

• Psychologist in Westfield, WI
• Providers in Westfield, WI by specialty
• Psychologist in Wisconsin

• 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.