Individual provider Active NPI

Matthew Daniels McCall

  • Psychologist
  • Winston Salem, NC
National Provider Identifier
1619601598
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
640 Holly Ave
Winston Salem, NC 27101-2716
Phone
(336) 725-3999
NPI assigned
Jul 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

640 Holly Ave
Winston Salem, NC 27101-2716

Mailing address

640 Holly Ave
Winston Salem, NC 27101-2716
Phone (336) 725-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260216000533 NC Practitioner - Clinical Psychologist 3072093467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Center IncGroup PAC ID 0042759680, 8 clinicians

Practice addresses (Care Compare)

640 Holly Ave
Winston Salem, NC 27101-2716
Phone (336) 725-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103693NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Center Inc Psychologist CurrentSince Feb 5, 2026 Accepting new patients
Trinity Center Inc PastSince Aug 25, 2025 Accepting new patients

Locations

640 Holly Ave
Winston Salem, NC 27101
Phone (336) 725-3999

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1619601598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-725-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-725-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "MATTHEW",
        "middle_name": "DANIELS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-15",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.