Active NPI
Matthew S Markis, D.O.
- Psychiatry Physician
- Calabasas, CA
National Provider Identifier
1780944470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R2147
- Practice address
- 23622 Calabasas Rd
Suite 320
Calabasas, CA 91302-1549 - Phone
- (818) 921-4300
- Fax
- (877) 917-3450
- NPI assigned
- May 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R2147 | AZ | Primary |
Addresses
Primary practice location
23622 Calabasas Rd
Suite 320
Calabasas, CA 91302-1549
Mailing address
23622 Calabasas Rd
Suite 320
Calabasas, CA 91302-1549
Phone (818) 921-4300
Medicare participation
Medicare enrollment files- 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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 13, 2017 through Mar 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14557 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| R2147 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1780944470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23622 CALABASAS RD",
"address_2": "SUITE 320",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021549",
"telephone_number": "818-921-4300",
"fax_number": "877-917-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23622 CALABASAS RD",
"address_2": "SUITE 320",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021549",
"telephone_number": "818-921-4300",
"fax_number": "877-917-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKIS",
"first_name": "MATTHEW",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-29",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "R2147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
- Marc Wimes-Reitz PH.D.
- Michelle A Marchesano-Brown, LMFT
- Katie Maulana Mardayat, M.S., CCC-SLP
- Marin L. Kokin, L.Ac. Inc
- Angela Celeste Markgraf, PT
- Devin Anne Markle, M.ED., CMPC
- Sigalit Marmorstein, NP
- Gia Marie Marson, ED.D.
- Adriana Martinez Olivera
- Maryam Khodaeikalaki Professional Clinical Counselor PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.