Mattis Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017844 Issued in PA

Legal business name

MATTIS PSYCHOLOGICAL SERVICES

Practice address

4520 Old William Penn Hwy
Suite B
Murrysville, PA 15668-1930

Phone

(814) 279-0739

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Michele Mattis, PSYD

Title

Owner

Phone

(814) 279-0739

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1750829768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 OLD WILLIAM PENN HWY",
            "address_2": "SUITE B",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681930",
            "telephone_number": "814-279-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 OLD WILLIAM PENN HWY",
            "address_2": "SUITE B",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681930",
            "telephone_number": "814-279-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTIS PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "MATTIS",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-279-0739",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Victoria Matthews
• Veronica Lucia Matto
• Conrad Francis Matz III, DC
• Conrad Francis Matz IV, DC
• Brandy Maupin, L.AC.
• Patricia Ann Maxwell, BSL

• Psychologist in Murrysville, PA
• Providers in Murrysville, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.