Michelle Catherine Matiya, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

9504039 Issued in PA

Practice address

6000 W Rayford Rd Apt 5208
Spring, TX 77389-2221

Phone

(845) 321-1813

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Catherine Obrien Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1790298784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 W RAYFORD RD APT 5208",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892221",
            "telephone_number": "845-321-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W RAYFORD RD APT 5208",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892221",
            "telephone_number": "845-321-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIYA",
        "first_name": "MICHELLE",
        "middle_name": "CATHERINE",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "9504039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "OBRIEN",
            "middle_name": "CATHERINE",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Psychologist in Spring, TX
• Providers in Spring, TX by specialty
• School Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.