Active NPI
Glenn A Matchett-Morris, PHD
- Counseling Psychologist
- Tucson, AZ
National Provider Identifier
1669733143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3726
- Practice address
- 1224 E Lowell St
Tucson, AZ 85721-0095 - Phone
- (520) 621-3334
- Fax
- (520) 621-6105
- NPI assigned
- May 31, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3726 | AZ | Primary |
Addresses
Primary practice location
1224 E Lowell St
Tucson, AZ 85721-0095
Mailing address
1224 E Lowell St
P.O. Box 210095
Tucson, AZ 85721-0095
Phone (520) 621-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1669733143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST",
"address_2": "P.O. BOX 210095",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210095",
"telephone_number": "520-621-3334",
"fax_number": "520-621-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1224 E LOWELL ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210095",
"telephone_number": "520-621-3334",
"fax_number": "520-621-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATCHETT-MORRIS",
"first_name": "GLENN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "3726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.