Matthew Jarvinen, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSB94022444 Issued in CA

Practice address

169 Saxony Rd Ste 205
Encinitas, CA 92024-6780

Phone

(916) 337-0485

NPI assigned

Jun 2, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Matthew Jarvinen PH.D., Inc., a Psychological Corporation

  • Community/Behavioral Health Agency
  • Encinitas, CA
  • NPI 1467915280
  NPD Authorized official

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1821446576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 DEL RIO AVE",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242361",
            "telephone_number": "916-337-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SAXONY RD STE 205",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920246780",
            "telephone_number": "916-337-0485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 Camino Del Rio S Ste 250",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084100",
            "country_code": "US",
            "telephone_number": "619-858-3105",
            "fax_number": "619-280-5420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 3rd Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035639",
            "country_code": "US",
            "telephone_number": "916-337-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVINEN",
        "first_name": "MATTHEW",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94022444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Linda A Jannelli, DC
• Acharlotte Jaques, O.D.
• Jason a. Copping Chiropractic Corporation
• Jaye Venuti, DDS and Michael Yokoyama, DDS, Prof. Dental Corp,
• Jeanette Mendez, M.D. , a Professional Corporation
• Jeffrey G Phillips Chiropractic Corporation
• Jennifer a Neff MD Inc

• Clinical Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.