Matthew Wynn

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0-15-6783 Issued in VA

Practice address

5400 Byrdhill Road
Richmond, VA 23220

Phone

(804) 572-5514

NPI assigned

Apr 25, 2016

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1700231008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BYRDHILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BYRDHILL ROAD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23220",
            "telephone_number": "804-572-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYNN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0-15-6783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis R. Wyche, NP
• Christopher M Wyeth, M.S., CCC-SLP
• Maxine Wylde, LCSW
• Haley Ann Wymbs, MD, MBS
• Brittany Burgess Wynn, DPT
• Shawntee Nicole Wynn, LCSW
• Debra Ann Wynne
• Virginia Ann Wyse, LPC
• Brian C Wysong, BCABA
• Carly Wytas, PA-C

• Behavior Analyst in Richmond, VA
• Providers in Richmond, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.