Individual provider Active NPI

Mathews Thomas, M.D

  • Psychiatry Physician
  • Brockton, MA
National Provider Identifier
1689790586
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
230794 Issued in MA
Practice address
940 Belmont St
Dept of Psychiatry, VA Medical Center
Brockton, MA 02301-5596
Phone
(774) 826-1793
NPI assigned
Mar 22, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 230794 MA Primary

Addresses

Primary practice location

940 Belmont St
Dept of Psychiatry, VA Medical Center
Brockton, MA 02301-5596

Mailing address

2 Kerna Rd
West Roxbury, MA 02132-6202
Phone (617) 947-8897

Other practice location 1

680 Centre St
Brockton, MA 02302-3308
Phone (508) 941-7885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090804000451 MA Practitioner - Psychiatry 1456404730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oasis Behavioral Health Center LLCGroup PAC ID 8426485251, 3 clinicians
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

1506 Providence Hwy
Unit 25
Norwood, MA 02062-4647
Phone (617) 401-7700

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Signature Healthcare Medical Group Inc Psychiatry CurrentSince Jul 25, 2017 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Oasis Behavioral Health Center LLC Psychiatry CurrentSince Dec 30, 2019 Accepting new patients
Oasis Partial Hospital Program Inc. CurrentSince Apr 10, 2022 Accepting new patients

Locations

178 Quincy Ave
Brockton, MA 02302
Phone (508) 584-8580

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

1504 Providence Hwy
Ste 23
Norwood, MA 02062
Phone (617) 947-8897

1506 Providence Hwy
Unit 25
Norwood, MA 02062
Phone (617) 401-7700

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

Interoperability endpoints

  • Direct secure messaging: mthomas254624@direct.bilh.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689790586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KERNA RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326202",
            "telephone_number": "617-947-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BELMONT ST",
            "address_2": "DEPT OF PSYCHIATRY, VA MEDICAL CENTER",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015596",
            "telephone_number": "774-826-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Centre St",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023023308",
            "country_code": "US",
            "telephone_number": "508-941-7885",
            "fax_number": "508-941-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MATHEWS",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "230794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.