Active NPI
Matthew Webb
- Clinical Psychologist
- Duluth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP5641
- Practice address
- 530 E 2ND St
Duluth, MN 55805-1913 - Phone
- (218) 786-8364
- NPI assigned
- Jun 30, 2008
- Last updated
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP5641 | MN | Primary |
Addresses
Primary practice location
530 E 2ND St
Duluth, MN 55805-1913
Mailing address
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Other practice location 1
530 East Second Street
Duluth, MN 55805-1913
Phone (218) 786-5360
Other practice location 2
1807 W Hwy 61
Grand Marais, MN 55604
Phone (218) 387-9444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891957890 | Medicaid | MN | |
| 1891957890 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Duluth Clinic LTD
Practice addresses (Care Compare)
530 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-5360
715 E Central Entrance
Duluth, MN 55811-5596
Phone (218) 723-8153
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP5641 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arrowhead Psychological Clinic, P.a. | Clinical | Current | Accepting new patients |
| SMDC Medical Center | Past | Accepting new patients | |
| Brightwater Health Dba Human Development Center | Past | Accepting new patients | |
| Deer River Healthcare Center, Inc. | Past | Accepting new patients |
Locations
715 E Central Entrance
Duluth, MN 55811
Phone (218) 723-8153
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Duluth, MN
- NPI 1619032562
-
- Community/Behavioral Health Agency
- Grand Marais, MN
- NPI 1205957610
-
dba Essentia Health Deer River
- Critical Access Hospital
- Deer River, MN
- NPI 1225049018
-
dba Essentia Health Duluth
- General Acute Care Hospital
- Duluth, MN
- NPI 1033153895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1891957890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 3RD ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051951",
"telephone_number": "218-786-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E 2ND ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051913",
"telephone_number": "218-786-8364"
}
],
"practiceLocations": [
{
"address_1": "530 East Second Street",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558051913",
"country_code": "US",
"telephone_number": "218-786-5360",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1807 W Hwy 61",
"address_purpose": "LOCATION",
"city": "Grand Marais",
"state": "MN",
"postal_code": "55604",
"country_code": "US",
"telephone_number": "218-387-9444",
"fax_number": "218-387-9435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBB",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-30",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP5641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891957890",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891957890",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.