Audrey J Mattson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

375 Issued in MT

Practice address

800 W Platinum St
Suite F
Butte, MT 59701-2200

Phone

(406) 693-2103

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Rocky Mountain Sleep Disorders Center Inc

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1902092489
  NPD (past)
• Department of Social

  • Psychiatric Hospital
  • Tacoma, WA
  • NPI 1144295080
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1831158732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597560223",
            "telephone_number": "406-693-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLATINUM ST",
            "address_2": "SUITE F",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012200",
            "telephone_number": "406-693-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "AUDREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00001634",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MT",
            "license": "375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartholomew Andrew Martyak, MD
• Jodi Marie Martz, LCPC
• Angelia Rae Mathias, LCPC, LAC
• Heidi M. Matlack, LCSW, LAC
• Tori Nicole Matteson, CPHT
• Kristie Matule
• Michael Anthony Mavros, A.T.,C.
• Alan R Mayer, M.D.
• Amanda Marie Timbol Mayer, PHARMD
• Christine Mayer, ATC

• Psychologist in Butte, MT
• Providers in Butte, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.