MARENA MATTA PSYD
NPI 1710512702
Psychologist - Clinical in Lubbock, TX

Active since March 10, 2020PECOS Enrolled
3223 S LOOP 289 STE 416, LUBBOCK, TX 79423(806) 602-2815 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 26, 2026, Sep 21, 2022, Aug 27, 2021 and 1 more (4 updates tracked since 2020).

About Marena Matta Psyd NPPES

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

MARENA MATTA PSYD (NPI 1710512702) is an individual clinical provider in Lubbock, Texas, licensed in Texas (40505) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1710512702
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARENA MATTACredential: PSYD
Location Address3223 S LOOP 289 STE 416Lubbock, TX 79423-1365
Mailing Address3223 S Loop 289 Ste 416Lubbock, TX 79423-1365 · (806) 602-2815
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2020
Last NPPES UpdateMarch 26, 20264 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1710512702 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 TX · 40505
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.
3223 S LOOP 289 STE 416, Lubbock, TX 79423

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marena Matta Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719453067
PECOS Enrollment IDI20260415002172
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 79423 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 3

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

Clinic/Center (Adult Mental Health)
3223 S LOOP 289 STE 416
LUBBOCK, TX 79423
Psychologist
3223 S LOOP 289 STE 416
LUBBOCK, TX 79423
Psychologist (Counseling)
3223 S LOOP 289 STE 416
LUBBOCK, TX 79423

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 Marena Matta's NPI number?

The NPI number for Marena Matta is 1710512702. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Where is Marena Matta located?

Marena Matta practices at 3223 S Loop 289 Ste 416, Lubbock, TX 79423. The listed phone number is (806) 602-2815.

What is Marena Matta's specialty?

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

Is Marena Matta enrolled in Medicare?

Yes. Marena Matta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marena Matta was last updated on March 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.