Deborah Gwen Mather, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17113 Issued in CA

Practice address

6615 E Pacific Coast Hwy
Suite #115
Long Beach, CA 90803-4211

Phone

(562) 596-0090

Fax

(562) 596-0094

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Crossroads Psychotherapy Group Inc.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1467409516
  Authorized official Same address or phone
• Deborh Mather

  dba Crossroads Psychotherapy Group

  • Clinical Psychologist
  • Los Alamitos, CA
  • NPI 1962563775
  NPD (past) Authorized official
• Linda Cole Psychotherapy Services Inc

  • Clinical Social Worker
  • Reno, NV
  • NPI 1750746244
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1669429767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 BOLSA CHICA ST",
            "address_2": "SUITE #104-239",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926492452",
            "telephone_number": "714-846-8230",
            "fax_number": "714-840-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 E PACIFIC COAST HWY",
            "address_2": "SUITE #115",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034211",
            "telephone_number": "562-596-0090",
            "fax_number": "562-596-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "DEBORAH",
        "middle_name": "GWEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Marie Mastriona
• Jean Masuo
• Francisca Mata, MD
• Makaio Jordan Mateo
• Maria Veroni Materan, M.A., CCC-SLP
• Pamela Mather, LMFT
• Kylee Matheson
• Barbara Matheus, NP CDE BC ADM MSN
• Lauren Ashley Mathews, D.D.S.
• Laura Wall Mathison, BCBA

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.