Individual provider Active NPI

Matthew R Rozzi, PHD

  • Psychologist
  • Madison, WI
National Provider Identifier
1679236137
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3994-57 Issued in WI
Practice address
3902 Milwaukee St Unit 7002
Madison, WI 53707-5002
Phone
(608) 602-8883
NPI assigned
Oct 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 3994-57 WI
Psychologist 103T00000X 3994-57 WI Primary

Addresses

Primary practice location

3902 Milwaukee St Unit 7002
Madison, WI 53707-5002

Mailing address

3902 Milwaukee St Unit 7002
Madison, WI 53707-5002
Phone (608) 602-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108000928 WI Practitioner - Clinical Psychologist 7810386125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Counseling Center of Southern Wisconsin IncGroup PAC ID 3870558281, 8 clinicians

Practice addresses (Care Compare)

5900 Monona Dr
Suite 100
Monona, WI 53716-3556
Phone (608) 663-0763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3994-57WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of Southern Wisconsin Inc CurrentSince May 2, 2022 Accepting new patients
Samaritan Counseling Center PastSince May 2, 2022 Accepting new patients

Locations

5900 Monona Dr
Ste 100
Monona, WI 53716
Phone (608) 663-0763

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1679236137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 MILWAUKEE ST UNIT 7002",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537075002",
            "telephone_number": "608-602-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 MILWAUKEE ST UNIT 7002",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537075002",
            "telephone_number": "608-602-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZZI",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "3994-57",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3994-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.