Individual provider Active NPI

Michele Lee Mattis, PSYD

  • Psychologist
  • Latrobe, PA
National Provider Identifier
1689914566
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS017844 Issued in PA
Practice address
100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001
Phone
(724) 537-1942
Fax
(724) 539-6353
NPI assigned
Feb 28, 2013
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS017844 PA Primary

Addresses

Primary practice location

100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001

Mailing address

100 Excela Health Dr Ste 301
Latrobe, PA 15650-9001
Phone (724) 537-1942

Other practice location 1

508 S Church St Ste 100
MT Pleasant, PA 15666-1702
Phone (724) 537-1942

Other practice location 2

101 9th St
Saltsburg, PA 15681-8985
Phone (724) 537-1942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20160504001358 PA Practitioner - Clinical Psychologist 4981903424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017844PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince Oct 10, 2025 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Latrobe Area Hospital, Inc. Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

508 S Church St
Ste 100
Mt Pleasant, PA 15666
Phone (724) 547-4536

Interoperability endpoints

  • Direct secure messaging: michelemattis@emg.allscriptsdirect.net
  • Direct secure messaging: mmattis@direct.excelahealth.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1689914566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 301",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-537-1942",
            "fax_number": "724-539-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EXCELA HEALTH DR STE 301",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156509001",
            "telephone_number": "724-537-1942",
            "fax_number": "724-539-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 S Church St Ste 100",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "PA",
            "postal_code": "156661702",
            "country_code": "US",
            "telephone_number": "724-537-1942",
            "fax_number": "724-539-6353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 9th St",
            "address_purpose": "LOCATION",
            "city": "Saltsburg",
            "state": "PA",
            "postal_code": "156818985",
            "country_code": "US",
            "telephone_number": "724-537-1942",
            "fax_number": "724-539-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTIS",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.