DR. CYNTHIA LYNN-NOSS MATARASO PSYCHOLOGIST
NPI 1063696409
Psychologist - Clinical in Concord, CA

Q: What is Cynthia Mataraso's NPI number?

The NPI number for Cynthia Mataraso is 1063696409. It was assigned to this individual provider in the NPPES registry on December 20, 2007.

Q: What is Cynthia Mataraso's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Cynthia Mataraso enrolled in Medicare?

No. Cynthia Mataraso has opted out of Medicare through September 25, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Cynthia Mataraso was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 20, 2007Opted out of Medicare · through Sep 25, 2026

2827 CONCORD BLVD, CONCORD, CA 94519(925) 685-9670(925) 685-1528 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Cynthia Lynn-noss Mataraso Psychologist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CYNTHIA LYNN-NOSS MATARASO PSYCHOLOGIST (NPI 1063696409) is an individual clinical provider in Concord, California, licensed in California (17258) and active in the NPI registry since December 2007. She has opted out of Medicare through September 25, 2026.

NPPES Registry Identity

NPI1063696409

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CYNTHIA LYNN-NOSS MATARASOCredential: PSYCHOLOGIST

Location Address2827 CONCORD BLVDConcord, CA 94519-2608

Mailing Address2827 Concord BlvdConcord, CA 94519-2608 · (925) 685-9670 · Fax (925) 685-1528

Phone(925) 685-9670

Fax(925) 685-1528

Sole ProprietorYes

Enumeration DateDecember 20, 2007

Last NPPES UpdateSeptember 18, 2020

NPPES CertifiedSeptember 18, 2020

✔ NPI 1063696409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 17258

Definition

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.

2827 CONCORD BLVD, Concord, CA 94519

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Cynthia Lynn-noss Mataraso Psychologist has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 25, 2020 through September 25, 2026.

Opt-Out Effective DateSeptember 25, 2020

Opt-Out In Effect ThroughSeptember 25, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUHAYNA AJAMI PSYD

Psychologist