Active NPI
Jeff Matranga, PH.D., ABPP
- Health Service Psychologist
- Waterville, ME
National Provider Identifier
1871500090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- PS679
- Practice address
- 30 Chase Ave
Waterville, ME 04901-4624 - Phone
- (207) 872-4100
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | PS679 | ME | Primary |
Addresses
Primary practice location
30 Chase Ave
Waterville, ME 04901-4624
Mailing address
2 Big Sky LN
Waterville, ME 04901-4340
Phone (207) 872-4100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231910099 | Medicaid | ME |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Psych Maine LLC | Health Service | Current | Accepting new patients |
Locations
2 Big Sky Ln
Waterville, ME 04901
Phone (207) 872-5800
Organizations & group practices 1
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.
-
- Health Service Psychologist
- Waterville, ME
- NPI 1881231553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1871500090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BIG SKY LN",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014340",
"telephone_number": "207-872-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CHASE AVE",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014624",
"telephone_number": "207-872-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATRANGA",
"first_name": "JEFF",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "ME",
"license": "PS679",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "231910099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.