Active NPI
Susan Gail Matlock-Hetzel, PH.D.
- Psychologist
- Harker Heights, TX
National Provider Identifier
1881821338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 34131
- Practice address
- 326 Morgan St
Harker Heights, TX 76548 - Phone
- (254) 724-2585
- NPI assigned
- Jun 11, 2009
- Last updated
- Jan 28, 2022
- 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 | 34131 | TX | Primary |
Addresses
Primary practice location
326 Morgan St
Harker Heights, TX 76548
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smatlockhetzel429578@direct.sw.org |
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 |
|---|---|---|---|
| 34131 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1881821338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "800-994-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 MORGAN ST",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "76548",
"telephone_number": "254-724-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATLOCK-HETZEL",
"first_name": "SUSAN",
"middle_name": "GAIL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-11",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "34131",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smatlockhetzel429578@direct.sw.org",
"affiliation": "N",
"address_1": "326 Morgan St",
"city": "Harker Heights",
"state": "TX",
"country_code": "US",
"postal_code": "76548",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.