MATTHEWS PSYCHOTHERAPY ASSOCIATES, PA (NPI# 1639470545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639470545 |
| Entity Type | Organization |
| Organization Name | MATTHEWS PSYCHOTHERAPY ASSOCIATES, PA |
| Other Organization Name | SUE EVANS, PMHCNS-BC |
| Practice Address |
1114 Sam Newell Rd Suite C Matthews NC 28105 |
| Practice Telephone | 7048149500 |
| Practice Fax Number | 7048461293 |
| Mailing Telephone | 7048149500 |
| Mailing Fax Number | 7048461293 |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |
| Authorized Official Name | SUSAN EVANS (PRESIDENT) |
| Authorized Official Telephone | 7048149500 |
| Authorized Official Credential | PMHCNS-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
43456 | NC | Nursing Service Providers |
| Y | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
43456 | NC | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| SUE EVANS, PMHCNS-BC | Doing Business As Name - Organization |
| Street Address |
1114 SAM NEWELL RD SUITE C |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 163WP0807X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891325940 | Lisa Jo Hallman | Registered Nurse | 6504 Horseback Ln, Raleigh, NC 27610-6677 | 2020-01-16 |
| 1497992168 | Gail Smith-barbour | Registered Nurse | 3324 Wrangler Ln, Charlotte, NC 28213-2169 | 2009-01-16 |
| 1750450235 | Ann M. Finch | Registered Nurse | 3225 Battleground Ave, Greensboro, NC 27408-2617 | 2006-11-07 |
| 1932706421 | Twanna T Hill | Registered Nurse | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 | 2020-10-07 |
| 1295342715 | Felicia Shuler | Registered Nurse | 277 Biltmore Ave, Asheville, NC 28801-4157 | 2020-09-29 |
| 1245852441 | Brooke Kirsten Marino Walz | Registered Nurse | 277 Biltmore Ave, Asheville, NC 28801-4157 | 2020-05-11 |
| 1548892052 | Belinda Ann King | Registered Nurse | 207 W 29th St, Lumberton, NC 28358-2901 | 2020-02-12 |
| 1568689172 | Suzanne B Stokes | Registered Nurse | 505 N Spence Ave Ste F, Goldsboro, NC 27534-4292 | 2007-04-18 |
| 1124161302 | Grace Hubbard | Registered Nurse | 8520 Six Forks Rd, Suite 204, Raleigh, NC 27615-3095 | 2007-02-15 |
| 1932151693 | Linda H Ingram | Registered Nurse | 8340 Bandford Way, Suite 101, Raleigh, NC 27615-2755 | 2006-05-17 |
| Find all providers with the same taxonomy | ||||
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| 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.