Individual provider Active NPI

Matthew Narron, PSY.D.

  • Clinical Psychologist
  • Sonora, CA
National Provider Identifier
1881831659
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY21288 Issued in CA
Practice address
193 Fairview LN Ste K
Sonora, CA 95370-4828
Phone
(209) 536-5144
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY21288 CA
Clinical Psychologist 103TC0700X PSY21288 CA Primary

Addresses

Primary practice location

193 Fairview LN Ste K
Sonora, CA 95370-4828

Mailing address

16525 Creekside Dr
Sonora, CA 95370-7931
Phone (510) 499-3666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217002042 CA Practitioner - Clinical Psychologist 6507271921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21288CAMDProfessional Counselor
PSY21288CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital Current Accepting new patients
Sonora Community Hospital CurrentSince Jan 1, 2021 Accepting new patients
Sonora Community Hospital Psychologist CurrentSince Jan 1, 2021 Accepting new patients
Sonora Community Hospital CurrentSince Jan 1, 2021 Accepting new patients
Sonora Community Hospital PastSince Jul 27, 2020 Accepting new patients

Locations

690 Guzzi Ln
Ste Cd
Sonora, CA 95370
Phone (209) 536-3820

193 Fairview Ln
Ste B
Sonora, CA 95370
Phone (209) 532-5100

193 Fairview Ln
Ste K
Sonora, CA 95370
Phone (209) 536-5144

680 Guzzi Ln
Ste 106
Sonora, CA 95370
Phone (209) 532-2792

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1881831659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16525 CREEKSIDE DR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953707931",
            "telephone_number": "510-499-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 FAIRVIEW LN STE K",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704828",
            "telephone_number": "209-536-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARRON",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21288",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.