John David Mather, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4056 Issued in AZ

Practice address

1084 San Tan Hills Dr
Queen Creek, AZ 85243-3489

Phone

(480) 888-7520

NPI assigned

Sep 5, 2007

Last updated

Oct 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Florence Unified School District #1

  • Local Education Agency (LEA)
  • Florence, AZ
  • NPI 1700938503
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1700070489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2850",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "852322850",
            "telephone_number": "520-866-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 SAN TAN HILLS DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852433489",
            "telephone_number": "480-888-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4056",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4056",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "3313826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Martinez, LCSW
• Mary C Masellis, M.A.
• Spencer Mask
• Kaitlin Mason, RBT
• Karen G Mason, FNP
• Thomas P Mathew, FNP-C, PMHNP-C
• Ashley Michelle Mathie, B.C.B.A.
• Jade Mattern, MSN, AGACNP-BC
• Max Dental LLC (Max Dental Club)
• Maximum Wellness Integrative Health Clinic

• Clinical Psychologist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.