Active NPI
Matthew A Meier, PSYD, HSP-P, LCAS
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1760460687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3774
- Practice address
- 4112 Blue Ridge Rd
Suite 200
Raleigh, NC 27612-4652 - Phone
- (919) 573-6520
- Fax
- (919) 573-6554
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2007030010 | MO | |
| Clinical Psychologist | 103TC0700X | 3774 | NC | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1405 | NC |
Addresses
Primary practice location
4112 Blue Ridge Rd
Suite 200
Raleigh, NC 27612-4652
Mailing address
4112 Blue Ridge Rd
Suite 200
Raleigh, NC 27612-4652
Phone (919) 573-6520
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 497364802 | Medicaid | MO | |
| 6001155 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007030010 | MO | MD | Clinical Psychologist |
| 3774 | NC | MD | Clinical Psychologist |
| 1405 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1760460687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124652",
"telephone_number": "919-573-6520",
"fax_number": "919-573-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 BLUE RIDGE RD",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124652",
"telephone_number": "919-573-6520",
"fax_number": "919-573-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIER",
"first_name": "MATTHEW",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSYD, HSP-P, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2007030010",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3774",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1405",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "497364802",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6001155",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.