Active NPI
Angela M Matos, DT
- Psychologist
- Lake Wylie, SC
National Provider Identifier
1902736697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 561 Red Wolf LN
Lake Wylie, SC 29710-6728 - Phone
- (704) 307-6127
- NPI assigned
- May 22, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | SC | Primary |
Addresses
Primary practice location
561 Red Wolf LN
Lake Wylie, SC 29710-6728
Mailing address
561 Red Wolf LN
Lake Wylie, SC 29710-6728
Phone (704) 307-6127
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779408000000",
"number": "1902736697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 RED WOLF LN",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297106728",
"telephone_number": "704-307-6127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 RED WOLF LN",
"city": "LAKE WYLIE",
"state": "SC",
"postal_code": "297106728",
"telephone_number": "704-307-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "ANGELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-22",
"last_updated": "2026-05-22",
"certification_date": "2026-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Wylie, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.