Active NPI
Francis Joseph Matese, PH.D.
- Clinical Psychologist
- Rocky River, OH
National Provider Identifier
1639356157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4765
- Practice address
- 20525 Center Ridge Rd
Suite 608
Rocky River, OH 44116-3437 - Phone
- (440) 331-3832
- Fax
- (216) 476-9166
- NPI assigned
- Jan 28, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84177 | OH | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4765 | OH | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4765 | OH | |
| Clinical Psychologist | 103TC0700X | 4765 | OH | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 4765 | OH | |
| Family Psychologist | 103TF0000X | 4765 | OH |
Addresses
Primary practice location
20525 Center Ridge Rd
Suite 608
Rocky River, OH 44116-3437
Mailing address
4395 Valley Forge Dr
Fairview Park, OH 44126-2824
Phone (440) 331-3832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0969519 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20525 Ctr Ridge Rd
Suite 608
Rocky River, OH 44116-3424
Phone (440) 331-3832
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84177 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 4765 | OH | MD | Occupational 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Rocky River, OH
- NPI 1801038963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414022400000",
"number": "1639356157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4395 VALLEY FORGE DR",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262824",
"telephone_number": "440-331-3832",
"fax_number": "216-476-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD",
"address_2": "SUITE 608",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163437",
"telephone_number": "440-331-3832",
"fax_number": "216-476-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATESE",
"first_name": "FRANCIS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-28",
"last_updated": "2014-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "84177",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "4765",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "4765",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4765",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "4765",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "OH",
"license": "4765",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0969519",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.