Tara Matus, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

36259 Issued in TX

Practice address

12001 W Parmer LN
Suite 200
Cedar Park, TX 78613-7767

Phone

(512) 763-9278

Fax

(512) 259-9465

NPI assigned

May 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1639514383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 VERDE VIS",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281315",
            "telephone_number": "512-207-0678",
            "fax_number": "512-259-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 W PARMER LN",
            "address_2": "SUITE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137767",
            "telephone_number": "512-763-9278",
            "fax_number": "512-259-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUS",
        "first_name": "TARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TX",
            "license": "36259",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "TX",
            "license": "36259",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "36259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mattair, LM, CPM
• Michael Mattamira, PT, DPT
• Matthew Zito & Associates
• Caleb Oliver Matthews, MA, LPC, LMFT
• Vicki Matthews, LMT
• Bessy Matute
• Christy Lee Mawdsley, LAC
• Max O Kerr DDS P.C.
• Brittany May, DC
• Rochelle M Mayfield, D.C.

• Clinical Child & Adolescent Psychologist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Clinical Child & Adolescent Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.