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MATTHEW MICHAEL KRIDEL PHD NPI 1588221808


NPI Information

NPI: 1588221808
Provider Name: MATTHEW MICHAEL KRIDEL, PHD
Classification: Psychologist - 103TH0004X
Entity Type: Individual

Specialization: Health

PECOS Registration: Yes

Address:
997 SAINT SEBASTIAN WAY
AUGUSTA, GA
ZIP 30912
Phone: (706) 721-6719
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Matthew Michael Kridel, PHD is a health psychologist in Augusta, GA with 5 years of experience. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • Matthew Michael Kridel, PHD NPI is 1588221808. The provider is registered as an individual entity type.

    The NPPES NPI record indicates the provider is a male.

    Education
    Medical School: UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
    Graduation Year:2019

    The provider's business location address is:

    997 SAINT SEBASTIAN WAY
    AUGUSTA, GA
    ZIP 30912-613
    Phone: (706) 721-6719

    The NPI 1588221808 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

    The enumeration date for this NPI number is 5/22/2019 and was last updated on 9/22/2021.


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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2103TH0004XPsychologistHealthPSY004537GEORGIAYes

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.