Jaya Mathew PHD, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36584 Issued in TX

Legal business name

JAYA MATHEW PHD, PLLC

Practice address

1340 Prudential Dr
Suite a
Dallas, TX 75235-4115

Phone

(214) 755-7532

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jaya Mathew, PH.D.NPI 1164642617

Title

Owner

Phone

(214) 755-7532

Specialties & licenses 1

Addresses

Other names 1

• Welllness 360 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaya Mathew, PH.D.

  • Psychologist
  • Dallas, TX
  • NPI 1164642617
  NPD (past) Authorized official

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1902332240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PRUDENTIAL DR",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354115",
            "telephone_number": "214-755-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PRUDENTIAL DR",
            "address_2": "SUITE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354115",
            "telephone_number": "214-755-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYA MATHEW PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "JAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-755-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Welllness 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Italiya, MD, PLLC
• Jay R Pudupakkam MD PA
• Tracie Nicole Jay-Hernandez, APRN, FNP-C
• John L Jay, MD
• Marva Jay, LVN
• Shashank Jayant
• Raj Kuhan Jayanthan, M.D.
• Sateesh Jayappa, MD
• Nataniel Jayaram
• Karthik Jayaraman, PT,DPT

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.