Active NPI
Francis J. Matese, PH.D. Inc.
- Clinical Psychologist
- Rocky River, OH
National Provider Identifier
1801038963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4765
- Legal business name
- FRANCIS J. MATESE, PH.D. INC.
- Practice address
- 20525 Center Ridge Rd
Suite 608
Rocky River, OH 44116-3437 - Phone
- (440) 331-3832
- Fax
- (216) 476-9166
- NPI assigned
- Apr 3, 2009
- Last updated
- Sep 17, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Francis Joseph Matese, PH.D.
- Title
- Owner
- Phone
- (440) 331-3832
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 84177 | OH | |
| Clinical Psychologist | 103TC0700X | 4765 | OH | Primary |
Addresses
Primary practice location
20525 Center Ridge Rd
Suite 608
Rocky River, OH 44116-3437
Mailing address
4395 Valley Forge Dr
Fairview Park, OH 44126-2824
Phone (440) 331-3832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0969519 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Rocky River, OH
- NPI 1639356157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410912000000",
"number": "1801038963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4395 VALLEY FORGE DR",
"city": "FAIRVIEW PARK",
"state": "OH",
"postal_code": "441262824",
"telephone_number": "440-331-3832",
"fax_number": "216-476-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20525 CENTER RIDGE RD",
"address_2": "SUITE 608",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441163437",
"telephone_number": "440-331-3832",
"fax_number": "216-476-9166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANCIS J. MATESE, PH.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-03",
"last_updated": "2014-09-17",
"status": "A",
"authorized_official_last_name": "MATESE",
"authorized_official_first_name": "FRANCIS",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-331-3832",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "84177",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0969519",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.