Mini Mathai, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSYC.00015092 Issued in CO

Practice address

190 E 9TH Ave Ste 350
Denver, CO 80203-2738

Phone

(949) 449-2499

NPI assigned

Apr 5, 2024

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 CO

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

State licenses

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.

• Rocky Mountain Neuropsychology Consultants, LLC

  • Health Psychologist
  • Denver, CO
  • NPI 1881065050
  Medicare reassignment NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1720830243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E 9TH AVE STE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032738",
            "telephone_number": "949-449-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E 9TH AVE STE 350",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802032738",
            "telephone_number": "949-449-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAI",
        "first_name": "MINI",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSYC.00015092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Rose Matassa, MS, PA-C
• Meghan Matejka, OTR/L
• Michael Anthony Matergia, MD
• Maternal Health Counseling and Lactation LLC
• Juni C Mathai, PHARM D
• Seth Allen Mathern, M.D.
• Maebelle Mathew, MD
• Lauren Mathews, L.AC.
• Madison Mathews
• Michael Dean Mathews, L.AC

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.