Active NPI
Mathias Ngwa, PSYD, LPA, ABSNP
- Clinical Psychologist
- Arlington, TX
National Provider Identifier
1982094785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36900
- Practice address
- 1201 N Watson Rd Ste 228
Arlington, TX 76006 - Phone
- (682) 321-7004
- NPI assigned
- Jan 31, 2015
- Last updated
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36900 | TX | Primary |
Addresses
Primary practice location
1201 N Watson Rd Ste 228
Arlington, TX 76006
Mailing address
7710 Kittery LN
Arlington, TX 76002-4177
Phone (682) 234-2561
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36900 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroskills Integrated Learning and Consulting, PC | Clinical | Current | Accepting new patients |
| Renaissance Assisted Living, L.L.C | Past | Accepting new patients | |
| Neuroskills Integrated Learning and Wellness, LLC | Past | Accepting new patients |
Locations
1201 N Watson Rd
Ste 228
Arlington, TX 76006
Phone (682) 321-7004
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Arlington, TX
- NPI 1255813143
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- Psychologist
- Arlington, TX
- NPI 1730045543
-
- Assisted Living Facility
- Dallas, TX
- NPI 1184868614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1982094785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 KITTERY LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760024177",
"telephone_number": "682-234-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 228",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "76006",
"telephone_number": "682-321-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGWA",
"first_name": "MATHIAS",
"name_prefix": "Dr.",
"credential": "PSYD, LPA, ABSNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-31",
"last_updated": "2022-03-01",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "36900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.