Individual provider Active NPI

Matthew J D'Ortona Jr., PSYD

  • Psychologist
  • Elmira, NY
National Provider Identifier
1942391206
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012507 Issued in NY
Practice address
100 N Main St Ste 202
Elmira, NY 14901-2901
Phone
(607) 738-8887
Fax
(855) 209-5530
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012507 NY Primary

Addresses

Primary practice location

100 N Main St Ste 202
Elmira, NY 14901-2901

Mailing address

100 N Main St Ste 202
Elmira, NY 14901-2901
Phone (607) 738-8887

Other names 1

  • Matthew J Dortona Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120203000470 NY Practitioner - Clinical Psychologist 5698711745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 N Main St
Suite 202
Elmira, NY 14901-2901
Phone (607) 738-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew J Dortona PSYD, PLLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

100 N Main St
Ste 202
Elmira, NY 14901
Phone (607) 738-8887

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1942391206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE 202",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-738-8887",
            "fax_number": "855-209-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST STE 202",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012901",
            "telephone_number": "607-738-8887",
            "fax_number": "855-209-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ORTONA",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "DORTONA",
            "middle_name": "J",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.