Individual provider Active NPI

Marta N Matos, PSY.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1699954669
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY6307 Issued in FL
Practice address
8525 SW 92ND St
B-8
Miami, FL 33156-7365
Phone
(305) 598-8879
Fax
(305) 598-0220
NPI assigned
Oct 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY6307 FL Primary

Addresses

Primary practice location

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

Mailing address

8525 SW 92ND St
B-8
Miami, FL 33156-7365
Phone (305) 598-8879

Other identifiers 1

IdentifierTypeStateIssuer
54756OtherFLBLUECROSS BLUESHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111004000273 FL Practitioner - Clinical Psychologist 3375715998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8525 SW 92 St
Miami, FL 33156-7374
Phone (305) 598-8879

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marta N Matos PSYD PA Clinical CurrentSince May 12, 2011 Accepting new patients

Locations

8525 SW 92nd St
Ste B8
Miami, FL 33156
Phone (305) 596-9989

Organizations & group practices 1

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": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1699954669",
    "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": {
        "last_name": "MATOS",
        "first_name": "MARTA",
        "middle_name": "N",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-26",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD PIN",
            "identifier": "54756",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.