JAMIE MATKOVICH (NPI# 1275015828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275015828 |
| Entity Type | Individual |
| Full Name | JAMIE MATKOVICH |
| Credential | ED.S, NCSP |
| Practice Address |
55781 National Rd Bridgeport OH 43912-1517 |
| Practice Telephone | 7406350835 |
| Mailing Telephone | 7406350835 |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
55781 NATIONAL RD |
| City | BRIDGEPORT |
| State | OH |
| Zip Code | 43912-1517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1790064111 | Tiffanie M Patton | Home Health Aide | 69395 Sunset Heights, Bridgeport, OH 43912 | 2011-08-16 |
| 1841415247 | Doris Ann Newman | Nurse's Aide | 56362 Berkley Avenue, Bridgeport, OH 43912 | 2007-04-13 |
| 1689732778 | Gerald C Booth | Chiropractor | 56104 National Road, Suite 112a, Bridgeport, OH 43912 | 2006-12-04 |
| 1578646808 | Fausto J Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1225144108 | Riesbeck Food Markets, Inc. | Pharmacy | 56130 National Road, Bridgeport, OH 43912 | 2006-08-22 |
| 1487609558 | Keith A Poole | Family Medicine | 55741 National Road, Bridgeport, OH 43912 | 2006-05-24 |
| 1285605329 | Peter Eugene Perzanowski | Chiropractor | 300 Howard St, Ste 2, Bridgeport, OH 43912 | 2006-01-27 |
| Find all providers in zip 43912 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073922357 | Vicki Klatt | Psychologist | 55707 Industrial Dr, Bridgeport, OH 43912-1516 | 2014-08-12 |
| 1689903924 | Luz Idalia Rodriguez-ortega | Psychologist | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2009-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 43912 |
Please comment or provide details below to improve the information on JAMIE MATKOVICH.
| 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.