Individual provider Active NPI

Matthew Stromberg, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Edinburg, TX
National Provider Identifier
1922888429
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1138219 Issued in TX
Practice address
1409 S 9TH Ave Ste 143
Edinburg, TX 78539-5527
Phone
(956) 317-7965
NPI assigned
Oct 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1138219 TX Primary

Addresses

Primary practice location

1409 S 9TH Ave Ste 143
Edinburg, TX 78539-5527

Mailing address

1409 S 9TH Ave Ste 143
Edinburg, TX 78539-5527
Phone (956) 317-7965

Other practice location 1

2379 NE Loop 410 Ste 5
San Antonio, TX 78217-5642
Phone (956) 777-0483

Other practice location 2

6423 McPherson Rd Ste 5
Laredo, TX 78041-6144
Phone (956) 777-0483

Other practice location 3

1805 Ruben Torres SR Blvd Ste B23
Brownsville, TX 78521-1115
Phone (956) 777-0483

Other practice location 4

950 W Nolana Loop Ste B
Pharr, TX 78577-7882
Phone (956) 777-0483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107002524 TX Practitioner - Nurse Practitioner 7416304845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novelty Behavioral HealthGroup PAC ID 1355718651, 9 clinicians

Practice addresses (Care Compare)

1409 S 9TH Ave
Suite 143
Edinburg, TX 78539-5527
Phone (956) 777-0483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Novelty Behavioral Health Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

1805 Ruben Torres SR Blvd
Ste B23
Brownsville, TX 78521
Phone (956) 777-0483

1409 S 9th Ave
Ste 143
Edinburg, TX 78539
Phone (956) 317-7965

6423 McPherson Rd
Ste 5
Laredo, TX 78041
Phone (956) 777-0483

950 W Nolana Loop
Ste B
Pharr, TX 78577
Phone (956) 777-0483

2379 NE Loop 410
Ste 5
San Antonio, TX 78217
Phone (210) 396-2582

Organizations & group practices 1

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1922888429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 S 9TH AVE STE 143",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395527",
            "telephone_number": "956-317-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S 9TH AVE STE 143",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785395527",
            "telephone_number": "956-317-7965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2379 NE Loop 410 Ste 5",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782175642",
            "country_code": "US",
            "telephone_number": "956-777-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6423 McPherson Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416144",
            "country_code": "US",
            "telephone_number": "956-777-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Ruben Torres SR Blvd Ste B23",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785211115",
            "country_code": "US",
            "telephone_number": "956-777-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Nolana Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Pharr",
            "state": "TX",
            "postal_code": "785777882",
            "country_code": "US",
            "telephone_number": "956-777-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROMBERG",
        "first_name": "MATTHEW",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1138219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.