DR. MATTHEW ALLEN CARLSON (NPI# 1740329663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740329663 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ALLEN CARLSON |
| Credential | PSY.D. |
| Practice Address |
55 Carlton St Counseling and Psychiatric Services Athens GA 30602-1503 |
| Practice Telephone | 7065422273 |
| Practice Fax Number | 7065428661 |
| Mailing Telephone | 6102660610 |
| Mailing Fax Number | 6102660292 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY003478 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAPITAL BLUE CROSS | 50056214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821406133 | Matthew Felix Carlson | Specialist/Technologist | Rollins College, 1000 Holt Ave-2730, Winter Park, FL 32789 | 2014-07-30 |
| 1457637910 | Matthew Hunter Carlson | Naturopath | 6253 1/2 3rd Ave Nw, Seattle, WA 98107-2106 | 2011-10-28 |
| 1972798015 | Matthew E Carlson | Dentist | 130 S 15th St Ste 101, North Sound Endodontcs, Mount Vernon, WA 98274-4569 | 2007-09-12 |
| 1073640413 | Matthew Thomas Carlson | Physical Therapist | 9826 S Western Ave, Evergreen Park, IL 60805-3200 | 2007-02-27 |
| 1588168678 | Matthew D Carlson | Counselor | 4320 Diplomacy Dr Ste 3121, Anchorage, AK 99508-5925 | 2018-03-22 |
| 1023362613 | Matthew William Carlson | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2012-11-03 |
| 1265799027 | Matthew David Carlson | Optometrist | 2501 N 45th St, Seattle, WA 98103-6909 | 2012-04-18 |
| 1982978672 | Matthew Herrick Carlson | Specialist/Technologist | 516 15th Ave Se, Minneapolis, MN 55455-0130 | 2012-02-28 |
| 1346561172 | Matthew Paul Carlson | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2010-06-16 |
| 1558689133 | Matthew Carlson | Surgery | 2800 Main St, St. Vincent's Medical Center; Department of Surgery, Bridgeport, CT 06606-4201 | 2010-05-06 |
| Street Address |
55 CARLTON ST COUNSELING AND PSYCHIATRIC SERVICES |
| City | ATHENS |
| State | GA |
| Zip Code | 30602-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232012 | Aimee T. Martin | Emergency Medicine | 55 Carlton St, Athens, GA 30602-1503 | 2005-11-18 |
| 1386297877 | Elizabeth Kindamo | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1760035257 | Staci Belcher | Dietitian, Registered | 55 Carlton St, Athens, GA 30602-1503 | 2019-07-23 |
| 1679000319 | Whitni Mcconnell | Dietitian, Registered | 55 Carlton St, University Health Center, Athens, GA 30602-1755 | 2017-05-12 |
| 1942748397 | University Health Center, University of Georgia | Clinic/Center | 55 Carlton St, Athens, GA 30602-1755 | 2017-02-06 |
| 1649675943 | Elizabeth Cheely | Social Worker | 55 Carlton St, Athens, GA 30602-1503 | 2014-10-29 |
| 1942635636 | Lila Grisar | Social Worker | 55 Carlton St, Athens, GA 30602-1755 | 2013-09-12 |
| 1548601214 | Austin Shedden | Psychologist | 55 Carlton St, Athens, GA 30602-1755 | 2013-07-10 |
| 1578814240 | Stevie Tabor Stigler | Counselor | 55 Carlton St, Athens, GA 30602-1503 | 2012-09-21 |
| 1053673566 | Sandrine M Bosshardt | Psychologist | 55 Carlton St, Athens, GA 30602-1503 | 2012-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1891979803 | Psychology Clinic | Psychologist | 139 Psychology Bldg., The University of Georgia, Athens, GA 30602 | 2007-12-27 |
| 1902008188 | A. Michele Lease | Psychologist | 630 Aderhold Hall, University of Georgia, Athens, GA 30602 | 2007-06-01 |
| 1992881841 | Uga Speech and Hearing | Audiologist | 593 Aderhold Hall, Athens, GA 30602 | 2006-10-31 |
| 1437702453 | Anna Catherine Jessup | Specialist/Technologist | 330 River Rd, Athens, GA 30602 | 2019-07-18 |
| 1598072845 | Kendra Cordero Nelson | Physical Therapist | 370 River Road, Athens, GA 30602 | 2010-09-08 |
| 1104013150 | Kellie L Bauer | Speech-Language Pathologist | 593 Aderhold Hall, University of Georgia Speech and Hearing Clinic, Athens, GA 30602 | 2007-10-03 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1942852835 | Megha Danielle Sequeira | Specialist/Technologist | 330 Ramsey Road, Athens, GA 30602-0001 | 2019-07-11 |
| 1124688650 | Earl R. Cooper | Specialist/Technologist | 330 River Road 371 Ramsey Center 371 Ramsey Center, Athens, GA 30602-0001 | 2019-06-17 |
| Find all providers in zip 30602 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1528580677 | Julie Sarno Owens | Psychologist | 1 Ohio University Dept Of, Athens, OH 45701-2942 | 2017-07-11 |
| 1003346578 | Brian T. Wymbs | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room 002, Athens, OH 45701-2942 | 2017-06-15 |
| 1649700550 | Timothy Anderson | Psychologist | 1 Ohio University Psychology and Social Work Clinic, Room 002 Athens, Oh 45701-2942 United States, Athens, OH 45701-2942 | 2017-06-13 |
| 1790213213 | Julie Suhr | Psychologist | 250 Porter Hall Dept Of, Athens, OH 45701-1368 | 2017-05-29 |
| 1407384126 | Ryan Christopher Shorey | Psychologist | 1 Ohio University Dept of Psychology, Porter Hall Room, Athens, OH 45701-2942 | 2017-05-25 |
| 1487904454 | Footprints Psychological Services LLC | Psychologist | 1090 Founders Blvd., Ste B, Athens, GA 30606 | 2012-09-17 |
| 1760614119 | Pcap Inc | Psychologist | 215 Hawthorne Park Ste A, Athens, GA 30606-2164 | 2009-08-19 |
| 1295999050 | Nan W Cooley | Psychologist | 2085 S Milledge Ave, Suite 1, Athens, GA 30605-1655 | 2008-07-10 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on DR. MATTHEW ALLEN CARLSON.
| 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.