Marta N Matos PSYD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6307 Issued in FL

Legal business name

MARTA N MATOS PSYD PA

Practice address

8525 SW 92ND St
#B-8
Miami, FL 33156-7365

Phone

(305) 598-8879

Fax

(305) 598-0220

NPI assigned

Oct 10, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marta Nilda Matos, PSYDNPI 1699954669

Title

Owner

Phone

(305) 598-8879

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marta N Matos, PSY.D.

  • Clinical Psychologist
  • Miami, FL
  • NPI 1699954669
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679561146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "#B-8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-598-8879",
            "fax_number": "305-598-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 SW 92ND ST",
            "address_2": "#B-8",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567365",
            "telephone_number": "305-598-8879",
            "fax_number": "305-598-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTA N MATOS PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "NILDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-598-8879",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mart Medical DME
• Mart Medical Group Inc
• Marta Gainza DMD PA
• Marta Gutierrez, P.a.
• Marta Health Care Solution Inc
• Nicolle Marie Marte Pena, M.D.
• Yeiry Marte Pena
• Gisela Marte
• Katherine Angela Marte
• Lala Marte, RBT

• Clinical Psychologist in Miami, FL
• Providers in Miami, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.