DR. JAYA MATHEW PH.D.
NPI 1164642617
Psychologist in Dallas, TX

Active since April 26, 2007Opted out of Medicare · through May 8, 2027
1340 PRUDENTIAL DR # B, DALLAS, TX 75235(214) 275-4667 Get Directions Write a Review

NPPES record last updated: June 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jaya Mathew Ph.d. NPPES

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

DR. JAYA MATHEW PH.D. (NPI 1164642617) is an individual psychologist in Dallas, Texas, licensed in Texas (36584) and active in the NPI registry since April 2007. She has opted out of Medicare through May 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164642617
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JAYA MATHEWCredential: PH.D.
Location Address1340 PRUDENTIAL DR # BDallas, TX 75235-4115
Mailing Address21 N Butler St Apt 504Madison, WI 53703-4229 · (214) 755-7532
Sole ProprietorNo
Enumeration DateApril 26, 2007
Last NPPES UpdateJune 18, 2014
NPI 1164642617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses Licensed in TX · 36584 Licensed in WI · 3065-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1340 PRUDENTIAL DR # B, Dallas, TX 75235

Accepted Insurance

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. Jaya Mathew Ph.d. 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 May 8, 2025 through May 8, 2027.

Opt-Out Effective DateMay 8, 2025
Opt-Out In Effect ThroughMay 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaya Mathew's NPI number?

The NPI number for Jaya Mathew is 1164642617. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Jaya Mathew located?

Jaya Mathew practices at 1340 Prudential Dr # B, Dallas, TX 75235. The listed phone number is (214) 275-4667.

What is Jaya Mathew's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jaya Mathew enrolled in Medicare?

No. Jaya Mathew has opted out of Medicare through May 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jaya Mathew accept?

Health plans from Baylor Scott and White Health Plan, Oscar Insurance Company and UnitedHealthcare list Jaya Mathew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaya Mathew was last updated on June 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.