Active NPI
Judith Matson, PH.D.
- Psychologist
- Encinitas, CA
National Provider Identifier
1841304151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY10670
- Practice address
- 345 Santa Fe Dr
Encinitas, CA 92024-5132 - Phone
- (858) 793-2613
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | PSY10670 | CA | Primary |
Addresses
Primary practice location
345 Santa Fe Dr
Encinitas, CA 92024-5132
Mailing address
1298 Longfellow Rd
Vista, CA 92081-9064
Phone (760) 599-3877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075737 | Other | CA | MHN PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10670 | CA | MD | Psychologist |
| 10670 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1841304151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1298 LONGFELLOW RD",
"city": "VISTA",
"state": "CA",
"postal_code": "920819064",
"telephone_number": "760-599-3877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 SANTA FE DR",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245132",
"telephone_number": "858-793-2613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSON",
"first_name": "JUDITH",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY10670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER NUMBER",
"identifier": "075737",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
- Krista Ann Mason, FNP
- Richard Kemp Massengill, M.D.
- Marissa S Massimini, LMFT
- Robert Matorin, M.D.
- Matru-Sparsh Acupuncture Heath and Wellness Clinic Inc
- Matthew D Cooper a Professional Corporation
- Matthew Daniel, D.P.M Inc.
- Matthew Jarvinen PH.D., Inc., a Psychological Corporation
- Matthew Schultzel DO and Douglas Sullivan PC
- Jaclyn Matthews
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.