Organization Active NPI

Francis J. Matese, PH.D. Inc.

  • Clinical Psychologist
  • Rocky River, OH
National Provider Identifier
1801038963
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4765 Issued in OH
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Francis Joseph Matese, PH.D.NPI 1639356157
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0969519MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090724000136 OH Part B Supplier - Clinic/Group Practice 6406909399 Receives reassigned benefits from 1 practitioner
Practice locations: Rocky River, OH

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.