Leonard Neil Matheson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PYR0533 Issued in MO

Practice address

48 Hanover LN
Chico, CA 95973-7224

Phone

(636) 346-8869

Fax

(636) 898-0954

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1700988540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 BLOOMINGTON AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289423",
            "telephone_number": "636-346-8869",
            "fax_number": "636-898-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 HANOVER LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959737224",
            "telephone_number": "636-346-8869",
            "fax_number": "636-898-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHESON",
        "first_name": "LEONARD",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY9294",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "PYR0533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Ernest Masula, D.C.
• Imelda Miranda Mata
• Karen Lee Mata, BHC
• Rebecca Ana Mata
• Ariyah Shae Matheson
• Nikita Green Mathews
• Judith Ann Mathieu
• Thomas Mattera, AMFT
• Matthew Murray DDS Inc
• Kendall Matthew

• Psychologist in Chico, CA
• Providers in Chico, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.