Matthew Coldagelli, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-T-000021 Issued in AZ

Practice address

6611 W Peoria Ave
Glendale, AZ 85302-7000

Phone

(602) 346-7065

Fax

(415) 252-7176

NPI assigned

Jan 5, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, GA, WA, NC, TX, CO6 enrollments

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 6

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iora Senior Health LLCGroup PAC ID 0143520189, shared by 4 NPIs, 117 clinicians

Iora Health Washington Physicians PCGroup PAC ID 1355614421, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Iora Health Washington Physicians, P.C.

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1023547072

  WA

  Medicare reassignment Care Compare group NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1619376456

  AZ

  Medicare reassignment NPD
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1568991511

  CO

  Medicare reassignment NPD
• Iora Health Georgia, P.C.

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1457846727

  GA

  Medicare reassignment NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1518446194

  GA

  Medicare reassignment NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1710386545

  WA

  Medicare reassignment NPD
• One Medical, P.C.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1144886839

  NC

  Medicare reassignment NPD
• Iora Health Texas, PLLC

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1114586708

  TX

  Medicare reassignment
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Glendale, CO
  • NPI 1366827024

  CO

  Medicare reassignment
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1457755563
  NPD
• Iora Senior Health, LLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1659790921
  NPD
• Iora Health Colorado, P.C.

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1023632239
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1962090910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027000",
            "telephone_number": "602-325-5580",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 W PEORIA AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853027000",
            "telephone_number": "602-346-7065",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3137 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850174069",
            "country_code": "US",
            "telephone_number": "602-346-7065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLDAGELLI",
        "first_name": "MATTHEW",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-T-000021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Cohen
• Jovens Colas, LSW
• Nancy Lynn Colattur, MSW, LCSW, LISAC
• Shyam Narayanan Colattur, M.D.
• Eileen Robin Colby
• Jaime R Cole, P.A-C
• John Howard Cole, M.D.
• Joseph Cole
• Laura Cole, FNP
• Theresa Lynn Cole, MSC/CC

• Clinical Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.