Courtney Jill Matthaei, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100563800 Issued in NJ

Practice address

617 Union Ave
Building 3, Suite 20
Brielle, NJ 08730-1838

Phone

(732) 281-7863

Fax

(732) 223-2731

NPI assigned

Aug 3, 2009

Last updated

Mar 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  Medicare reassignment NPD

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489276800000",
    "number": "1801027214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 UNION AVE",
            "address_2": "BUILDING 3, SUITE 20",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301838",
            "telephone_number": "732-281-7863",
            "fax_number": "732-223-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 UNION AVE",
            "address_2": "BUILDING 3, SUITE 20",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301838",
            "telephone_number": "732-281-7863",
            "fax_number": "732-223-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHAEI",
        "first_name": "COURTNEY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2017-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100563800",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NJ",
            "license": "TP 053-634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lehotay, D.C.
• Jessica Lelinho, LPC, LCADC
• Deidre Stamos Lonza, LCSW, LCADC
• Makowski Medical Associates PA
• Charles Joseph Makowski, DO
• John M Murray, D.M.D.
• Nancy Kleinfeld, R.D., Ibclc, RLC (Lactation Support Services)
• Nav Rehab Chiropractic LLC
• Anne Nissim, SLP
• Sherri Marie Nixon, DNP APN PMHNP

• Clinical Psychologist in Brielle, NJ
• Providers in Brielle, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.