MATTHEW SCOTT WILLERICK PH.D.
NPI 1497082390
Psychologist - Clinical in Travis Afb, CA

Active since November 13, 2009PECOS Enrolled
101 BODIN CIR, TRAVIS AFB, CA 94535(707) 423-5174 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2019, May 8, 2018 (2 updates tracked since 2018).

About Matthew Scott Willerick Ph.d. NPPES

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

MATTHEW SCOTT WILLERICK PH.D. (NPI 1497082390) is an individual clinical provider in Travis Afb, California, licensed in Michigan (6301014957) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497082390
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMATTHEW SCOTT WILLERICKCredential: PH.D.
Location Address101 BODIN CIRTravis Afb, CA 94535-1809
Mailing Address101 Bodin CirTravis Afb, CA 94535-1809 · (707) 423-5174
Sole ProprietorNo
Enumeration DateNovember 13, 2009
Last NPPES UpdateJune 17, 20192 updates tracked since enumeration
NPI 1497082390 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 MI · 6301014957
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.
101 BODIN CIR, Travis Afb, CA 94535

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Scott Willerick 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$191.95 typical visit price
range $65.02 – $191.95
Typical copayment $47.98 (range $16.25 – $47.98)
Most-billed visit code 99205
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Military Health Care Provider (Independent Duty Medical Technicians)
101 BODIN CIR
TRAVIS AFB, CA 94535
Physical Therapist
101 BODIN CIR
TRAVIS AFB, CA 94535
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 BODIN CIR
TRAVIS AFB, CA 94535
Surgery (Vascular Surgery)
101 BODIN CIR
FAIRFIELD, CA 94535
Pharmacist
101 BODIN CIR
TRAVIS AFB, CA 94535
Family Medicine
101 BODIN CIR
TRAVIS AFB, CA 94535
Dentist (General Practice)
101 BODIN CIR
TRAVIS AFB, CA 94535
Student in an Organized Health Care Education/Training Program
101 BODIN CIR
FAIRFIELD, CA 94535

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 Matthew Willerick's NPI number?

The NPI number for Matthew Willerick is 1497082390. It was assigned to this individual provider in the NPPES registry on November 13, 2009.

Where is Matthew Willerick located?

Matthew Willerick practices at 101 Bodin Cir, Travis Afb, CA 94535. The listed phone number is (707) 423-5174.

What is Matthew Willerick's specialty?

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

Is Matthew Willerick enrolled in Medicare?

Yes. Matthew Willerick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Willerick was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.