Gretchen Mathieu, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

3900 City Line Ave
Suite 1207
Philadelphia, PA 19131-2908

Phone

(215) 878-3052

NPI assigned

Aug 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Gretchen Mathieu Hansen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Transition Phase III

  • Health Maintenance Organization
  • Philadelphia, PA
  • NPI 1306090592
  NPD (past)
• Transition Phase III

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
  • NPI 1720288913
  NPD (past)

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

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1982836508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CITY LINE AVE",
            "address_2": "SUITE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312908",
            "telephone_number": "215-878-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CITY LINE AVE",
            "address_2": "SUITE 1207",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312908",
            "telephone_number": "215-878-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIEU",
        "first_name": "GRETCHEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-15",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "84-019960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "HANSEN",
            "middle_name": "MATHIEU",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samantha Mathews, LPC
• Sarah Burch Mathews, MD
• Shibin G Mathews, MD
• Zannia Mathews
• Elizabeth C Mathewson, MSW
• Ari Stopak Mathis
• Charlena Mathis
• Deborah Jean Mathis, CRNP
• Derrick Mathis
• Veronica Varnetta Mathis, DMD

• Counseling Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Counseling Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.