DR. MARY E. MATZEDER PH.D.
NPI 1184777872
Psychologist in Olathe, KS

Active since January 18, 2007PECOS Enrolled
20705 W 151ST ST, OLATHE, KS 66061(913) 972-5179 Get Directions Write a Review

NPPES record last updated: October 22, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mary E. Matzeder Ph.d. NPPES

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

DR. MARY E. MATZEDER PH.D. (NPI 1184777872) is an individual psychologist in Olathe, Kansas, licensed in Kansas (882) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184777872
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARY E. MATZEDERCredential: PH.D.
Location Address20705 W 151ST STOlathe, KS 66061-7222
Mailing Address8303 Tomashaw StLenexa, KS 66219-1571 · (913) 972-5179
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateOctober 22, 2011
✔ NPI 1184777872 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 KS · 882✔ Licensed in MO · R0380
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.
20705 W 151ST ST, Olathe, KS 66061

Other Identifiers 4

Medicare PINMA3502MO
Medicaid200441610AKS
Medicare PINKA1624KS
Medicare PINMA3503MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary E. Matzeder Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Matzeder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Colorado and Illinois enrollments
  • Medicare enrollment name: Brightside Medical PA
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Skilled Nursing Facility
20705 W 151ST ST
OLATHE, KS 66061
Physical Therapist
20705 W 151ST ST
OLATHE, KS 66061
Physical Therapist
20705 W 151ST ST
OLATHE, KS 66061
Occupational Therapy Assistant
20705 W 151ST ST
OLATHE, KS 66061

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 Mary Matzeder's NPI number?

The NPI number for Mary Matzeder is 1184777872. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Mary Matzeder located?

Mary Matzeder practices at 20705 W 151st St, Olathe, KS 66061. The listed phone number is (913) 972-5179.

What is Mary Matzeder's specialty?

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

Is Mary Matzeder enrolled in Medicare?

Yes. Mary Matzeder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Matzeder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Matzeder reassigns Medicare benefits to Brightside Medical, P.A. (San Francisco, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Matzeder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Matzeder accept?

Health plans from Oscar Insurance Company and UnitedHealthcare list Mary Matzeder 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 Mary Matzeder was last updated on October 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.