MATTHEW J. MORDHORST PH.D.
NPI 1609892124
Psychologist - Clinical in Peoria, IL

Q: What is Matthew Mordhorst's NPI number?

The NPI number for Matthew Mordhorst is 1609892124. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Q: What is Matthew Mordhorst's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Mordhorst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 15, 2006

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-7378(309) 655-4609 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew J. Mordhorst Ph.d. NPPES

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

MATTHEW J. MORDHORST PH.D. (NPI 1609892124) is an individual clinical provider in Peoria, Illinois and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1609892124

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMATTHEW J. MORDHORSTCredential: PH.D.

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000 · Fax (309) 655-7869

Phone(309) 655-7378

Fax(309) 655-4609

Sole ProprietorNo

Enumeration DateJuly 15, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609892124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

530 NE GLEN OAK AVE, Peoria, IL 61637

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Other Identifiers 2

Other207414Medicare Group No.

Medicare ID-Type UnspecifiedK25828

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.

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ERIC TYLER AMPARAN MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2274

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

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 Mordhorst's NPI number?

The NPI number for Matthew Mordhorst is 1609892124. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Matthew Mordhorst located?

Matthew Mordhorst practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-7378.

What is Matthew Mordhorst's specialty?

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

When was this NPI record last updated?

The NPPES record for Matthew Mordhorst was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.