MATTHEW JOHN WYNN PHD
NPI 1013777036
Psychologist - Clinical in Piedmont, CA
About Matthew John Wynn Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW JOHN WYNN PHD (NPI 1013777036) is an individual clinical provider in Piedmont, California, licensed in California (34922) and active in the NPI registry since March 2024.Information from the official NPPES registry record.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 03-19-2024
Opt-Out End Date: 03-19-2026
Eligible to Order and Refer? No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013777036, enumerated as an "individual" on March 19, 2024.
The provider is located at 539 BLAIR AVE PIEDMONT, CA 94611 and the phone number is (510) 519-1928.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
