Active NPI
Mathew Clinical Services
- Clinical Psychologist
- Woodstock, IL
National Provider Identifier
1942007851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- MATHEW CLINICAL SERVICES
- Practice address
- 1320 Morraine Dr
Woodstock, IL 60098-9049 - Phone
- (315) 651-2011
- NPI assigned
- Feb 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kimberly N Mathew, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (315) 651-2011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
1320 Morraine Dr
Woodstock, IL 60098-9049
Mailing address
1320 Morraine Dr
Woodstock, IL 60098-9049
Phone (315) 651-2011
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Woodstock, IL
- NPI 1447722129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1942007851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 MORRAINE DR",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989049",
"telephone_number": "315-651-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 MORRAINE DR",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600989049",
"telephone_number": "315-651-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATHEW CLINICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "315-651-2011",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.