Individual provider Active NPI

James T. Matranga, PH.D.

  • Psychologist
  • Hyde Park, NY
National Provider Identifier
1851489181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004779-1 Issued in NY
Practice address
7 Pine Woods Rd
Hyde Park, NY 12538-1650
Phone
(845) 889-4800
Fax
(845) 889-4800
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004779-1 NY Primary

Addresses

Primary practice location

7 Pine Woods Rd
Hyde Park, NY 12538-1650

Mailing address

7 Pine Woods Rd
Hyde Park, NY 12538-1650
Phone (845) 889-4800

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

LicenseStateTypeSpecialty
004779-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851489181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PINE WOODS RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381650",
            "telephone_number": "845-889-4800",
            "fax_number": "845-889-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PINE WOODS RD",
            "city": "HYDE PARK",
            "state": "NY",
            "postal_code": "125381650",
            "telephone_number": "845-889-4800",
            "fax_number": "845-889-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATRANGA",
        "first_name": "JAMES",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004779-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.