Active NPI
Curtis A Mattson, PSYD
- Psychologist
- Springfield, MO
National Provider Identifier
1669765715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2011008100
- Practice address
- 3800 S National Ave Ste 770
Springfield, MO 65807-5283 - Phone
- (417) 269-6891
- Fax
- (417) 269-5595
- NPI assigned
- May 24, 2011
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2011008100 | MO | Primary |
Addresses
Primary practice location
3800 S National Ave Ste 770
Springfield, MO 65807-5283
Mailing address
PO Box 4046
Springfield, MO 65808-4046
Phone (417) 269-5712
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011008100 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1669765715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4046",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658084046",
"telephone_number": "417-269-5712",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S NATIONAL AVE STE 770",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075283",
"telephone_number": "417-269-6891",
"fax_number": "417-269-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTSON",
"first_name": "CURTIS",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-24",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2011008100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.