DR. IRENE MATIATOS PHD NPI 1215000773

NPI Information

  • NPI: 1215000773
  • Provider Name: DR. IRENE MATIATOS, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 23 SILVER DARTER LN
    BILTMORE LAKE, NC
    ZIP 28715
  • Phone: (551) 206-3762

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NPI Details

DR. Irene Matiatos, PHD is a clinical psychologist in Biltmore Lake, NC with 36 years of experience. 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. DR. Irene Matiatos, PHD NPI is 1215000773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 SILVER DARTER LN
BILTMORE LAKE, NC
ZIP 28715-526
Phone: (551) 206-3762
Fax: (828) 633-2143

The NPI 1215000773 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 11/15/2006 and was last updated on 9/23/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TB0200XPsychologistCognitive & Behavioral010778-1NEW YORKNo
2103TC0700XPsychologistClinical010778-1NEW YORKNo
3103TF0000XPsychologistFamily010778-1NEW YORKNo
4103TC0700XPsychologistClinical3902NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P570970OTHERNEW YORKOXFORD
2V4C851MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE NUMBER
36802210OTHERNEW YORKGHI
4S10778OTHERNEW YORKWORKERS COMPENSATION
5386523OTHERNEW YORKMVP

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: 11/21/2025

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