MATTHEW CLEM


Address: 6363 Forest Park Rd, Dallas, TX 75235-5479
Phone: 2146484316

MATTHEW CLEM (NPI# 1225560055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225560055
Entity Type Individual
Full Name MATTHEW CLEM
Credential PHD
Practice Address 6363 Forest Park Rd
Dallas
TX 75235-5479
Mailing Address 11882 Greenville Ave
Ste 107
Dallas
TX 75243-3567
Practice Telephone 2146484316
Mailing Telephone 9726448686
Mailing Fax Number 9726448688
Enumeration Date 2017-03-30
Last Update Date 2019-09-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Office Location

Street Address 6363 FOREST PARK RD
City DALLAS
State TX
Zip Code 75235-5479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770682585 Dallas Medtex Lp Clinic/Center 6363 Forest Park Rd, Suite # 810, Dallas, TX 75235-5479 2006-09-21
1598311870 Julia Elizabeth Cartwright Psychologist 6363 Forest Park Rd, Dallas, TX 75235-5479 2019-08-13
1891227369 Jun Tan Student in an Organized Health Care Education/Training Program 6363 Forest Park Rd, Bl11.202d, Dallas, TX 75390-9315 2017-04-03
1437506508 Dena Daniel Counselor 6363 Forest Park Rd, 7th Fl, Suite 749, Dallas, TX 75390-9121 2016-05-18
1720462310 Alma Christina Sanchez Social Worker 6363 Forest Park Rd, Suite 13.408, Dallas, TX 75235-5479 2015-07-14
1134507049 Sayoni Lahiri Genetic Counselor, MS 6363 Forest Park Rd, Suite Blb 306, Dallas, TX 75235-5479 2015-05-12
1316334352 Ryan Nodurft Social Worker 6363 Forest Park Rd, 7th Floor Suite 749, Dallas, TX 75390-9121 2015-04-16
1164764932 Clinton James Smith Psychologist 6363 Forest Park Rd, Dallas, TX 75390-2553 2013-03-20
1740565084 Medtex of Dallas Clinic/Center 6363 Forest Park Rd, Suite 810, Dallas, TX 75235-5479 2011-10-19
1881833911 Reed J Robinson Psychologist 6363 Forest Park Rd, Bl07.422, Dallas, TX 75390-9119 2009-02-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265058895 Kailey Elaine Flowers Physical Therapy Assistant 2400 Empire Central Drive, Suite B, Dallas, TX 75235 2020-06-19
1265061071 Bella Xinyi O'malley Student in an Organized Health Care Education/Training Program 1935 Medical Drive, Dallas, TX 75235 2020-04-03
1427687318 Can Ozlu Student in an Organized Health Care Education/Training Program Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 2020-04-03
1689137515 Tarek Mansi Student in an Organized Health Care Education/Training Program 2222 Medical District Dr Apt 4325, Dallas, TX 75235 2019-04-08
1386117125 Christine Elizabeth Smith Physician Assistant 8134 Tex Oak Avenue, Dallas, TX 75235 2019-01-04
1447720016 Michelle Angelina Dye Physician Assistant 5959 Maple Avenue Apt 1171, Dallas, TX 75235 2018-11-27
1255869335 Andrea Nicole Pennington-peace Specialist/Technologist, Other 1935 Medial District, Dallas, TX 75235 2017-06-01
1194258152 Tricia Rood Student in an Organized Health Care Education/Training Program 5200 Harry Hines Blvd., Dallas, TX 75235 2017-04-06
1437690971 Robin Lee Counselor 8915 Hrry Hines Blvd, Dallas, TX 75235 2017-03-16
1871033746 Javier Davila-lopez Counselor 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 2017-02-27
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992330864 Annelizabeth Robinson Carlew Clinical Neuropsychologist 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 2020-03-11
1255815072 Seema Pandya Clinical Neuropsychologist 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 2018-09-18
1194212712 Christian Lobue Clinical Neuropsychologist 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 2018-04-19
1235679283 David Denney Clinical Neuropsychologist 6303 Forest Park Road, Dallas, TX 75390-6373 2017-02-24
1487100517 Joan Mayfield Clinical Neuropsychologist 9735 Windham Dr, Dallas, TX 75243-2320 2016-08-29
1225441355 North Texas Neurorehabilitation Center Pa Clinical Neuropsychologist 4315 San Gabriel Dr, Dallas, TX 75229-4131 2014-06-05
1699026864 Andrea Hester, Phd, Pllc Clinical Neuropsychologist 12820 Hillcrest Rd Ste C-100, Dallas, TX 75230-1526 2012-09-27
1629223557 Carlos Daniel Marquez De La Plata Clinical Neuropsychologist 4101 Mcewen Rd Ste 318, Dallas, TX 75244-5257 2008-11-19
1013036912 Ronald George Paulman Clinical Neuropsychologist 9400 N. Central Expy., Suite 1212, Dallas, TX 75231-5032 2007-03-29
1346370442 Kris Weber Clinical Neuropsychologist 7557 Rambler Rd Ste 700, Dallas, TX 75231-2321 2007-03-07
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Competitor

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City DALLAS
Zip Code 75235

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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