Active NPI
Michael Matthews, PH.D
- Psychologist
- Scranton, PA
National Provider Identifier
1831709716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS006148L
- Practice address
- 541 Wyoming Ave
Scranton, PA 18509-3000 - Phone
- (570) 342-4665
- Fax
- (570) 342-5024
- NPI assigned
- Aug 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS006148L | PA | Primary |
Addresses
Primary practice location
541 Wyoming Ave
Scranton, PA 18509-3000
Mailing address
541 Wyoming Ave
Scranton, PA 18509-3000
Phone (570) 342-4665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006148L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1831709716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 WYOMING AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185093000",
"telephone_number": "570-342-4665",
"fax_number": "570-342-5024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 WYOMING AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185093000",
"telephone_number": "570-342-4665",
"fax_number": "570-342-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTHEWS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS006148L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.