Dona Lyn Mathews, PSY.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP4576 Issued in MN

Practice address

2550 University Ave. W
Suite 163 South
St Paul, MN 55114-1904

Phone

(651) 895-4468

Fax

(651) 645-7972

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Metro Psychology Support Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Paul, MN
  • NPI 1194749226
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699795542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE. W",
            "address_2": "SUITE 163 SOUTH",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551141904",
            "telephone_number": "651-895-4468",
            "fax_number": "651-645-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 UNIVERSITY AVE. W",
            "address_2": "SUITE 163 SOUTH",
            "city": "ST PAUL",
            "state": "MN",
            "postal_code": "551141904",
            "telephone_number": "651-895-4468",
            "fax_number": "651-645-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "DONA",
        "middle_name": "LYN",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP4576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Mather, RN
• Jocelyn R Mathern, RD
• Leah C Matheson
• Smitha Elizabeth Mathew, MBBS
• Benji Mathews, M.D.
• Rochelle Matos
• Helen Matsoff, OTR/L
• Heather Matson, LMFT, ATR-BC
• Mark Alan Matson, M.D.
• Martha Matsumoto, MD

• Psychologist in St Paul, MN
• Providers in St Paul, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.