Active NPI
Masami Matsuyuki, PH.D.
- Psychologist
- Morehead, KY
National Provider Identifier
1952642852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYLIP00211379
- Practice address
- 112 Allie Young Hall
Morehead, KY 40351 - Phone
- (606) 783-2885
- Fax
- (606) 783-9106
- NPI assigned
- Mar 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2012-88 | KY | |
| Psychologist | 103T00000X | PSYLIP00211379 | KY | Primary |
Addresses
Primary practice location
112 Allie Young Hall
Morehead, KY 40351
Mailing address
150 University Blve
112 Allie Young Hall
Morehead, KY 40351
Phone (606) 783-2885
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-88 | KY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421884800000",
"number": "1952642852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 UNIVERSITY BLVE",
"address_2": "112 ALLIE YOUNG HALL",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "40351",
"telephone_number": "606-783-2885",
"fax_number": "606-783-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ALLIE YOUNG HALL",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "40351",
"telephone_number": "606-783-2885",
"fax_number": "606-783-9106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATSUYUKI",
"first_name": "MASAMI",
"name_prefix": "Ms.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-04",
"last_updated": "2015-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "2012-88",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "PSYLIP00211379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.