Active NPI
Samantha Mathews
- Clinical Child & Adolescent Psychologist
- Cincinnati, OH
National Provider Identifier
1982196697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 4633 Aicholtz Rd
Cincinnati, OH 45244 - Phone
- (513) 752-1555
- NPI assigned
- May 30, 2018
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
4633 Aicholtz Rd
Cincinnati, OH 45244
Mailing address
4629 Aicholtz Rd
Cincinnati, OH 45244-1551
Phone (513) 752-1555
Other practice location 1
2825 Burnet Ave Fl 4
Cincinnati, OH 45219-2426
Phone (513) 558-5857
Other practice location 2
3101 Dixie Hwy
Hamilton, OH 45015
Phone (513) 737-3400
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Aloysius Orphanage Cambridge | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Hamilton, OH
- NPI 1275920472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1982196697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 AICHOLTZ RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441551",
"telephone_number": "513-752-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 AICHOLTZ RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "45244",
"telephone_number": "513-752-1555"
}
],
"practiceLocations": [
{
"address_1": "2825 Burnet Ave Fl 4",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452192426",
"country_code": "US",
"telephone_number": "513-558-5857",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3101 Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Hamilton",
"state": "OH",
"postal_code": "45015",
"country_code": "US",
"telephone_number": "513-737-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATHEWS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.