Provider Type Icon

MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES PLLC NPI 1275958399


NPI Information

NPI: 1275958399
Provider Name: MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
1811 SARDIS ROAD NORTH
SUITE 207
CHARLOTTE, NC
ZIP 28270
Phone: (704) 776-5584
Get Directions

MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC is a clinical psychologist in Charlotte, NC. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MATTHEWS PSYCHOLOGICAL AND FAMILY SERVICES, PLLC NPI is 1275958399. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1811 SARDIS ROAD NORTH
SUITE 207
CHARLOTTE, NC
ZIP 28270
Phone: (704) 776-5584
Fax: (704) 845-6111

The provider's authorized official is Matthew Stephen Burgess Leary .
The authorized official title is Licensed Psychologist And Owner and has the following contact phone number (704) 776-5584.

The enumeration date for this NPI number is 2/26/2014 and was last updated on 2/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC2200XPsychologistClinical Child & Adolescent3953NORTH CAROLINANo
2103TF0000XPsychologistFamily3953NORTH CAROLINANo
3103TC0700XPsychologistClinical3953NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730397191OTHERTYPE 1 NPI FOR OWNER, DR. MATTHEW BURGESS LEARY, PH.D.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.