Suzanne Mathews, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29473 Issued in CA

Practice address

7946 Ivanhoe Ave Ste 211
La Jolla, CA 92037-4517

Phone

(858) 353-1631

NPI assigned

Dec 30, 2008

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 18, 2018 through Sep 18, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780820415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750472",
            "telephone_number": "858-350-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7946 IVANHOE AVE STE 211",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374517",
            "telephone_number": "858-353-1631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 Herschel Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920374412",
            "country_code": "US",
            "telephone_number": "858-350-9821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "SUZANNE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Massey, PA-C
• Natalie Masson, PHD
• Ramona Master, MD
• Karla Kim Materna, PH.D.
• Kurt Ronald Mathews, M.D.
• Asma Mathlouthi
• Beth Ann Mattera, NP
• Amanda Matthe
• Matthew M. Schultzel, DO, an Osteopathic Medical Corporation
• Matthew W Gentile OD a Professional Optometric Corporation

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.