DR. MATTHEW JOHN DEVINE PH.D
NPI 1720837719
Psychologist in New York, NY

Active since May 14, 2024PECOS Enrolled
158 W 124TH ST, NEW YORK, NY 10027(332) 243-0021 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 18, 2026, May 14, 2024 (2 updates tracked since 2024).

About Dr. Matthew John Devine Ph.d NPPES

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

DR. MATTHEW JOHN DEVINE PH.D (NPI 1720837719) is an individual psychologist in New York, New York, licensed in New York (028377) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720837719
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. MATTHEW JOHN DEVINECredential: PH.D
Location Address158 W 124TH STNew York, NY 10027-4919
Mailing Address158 W 124th StNew York, NY 10027-4919
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 14, 2024
Last NPPES UpdateAugust 18, 20262 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1720837719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 028377
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.
158 W 124TH ST, New York, NY 10027

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew John Devine Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244799211
PECOS Enrollment IDI20260829000353
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 Matthew Devine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 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 13

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

Psychologist (Clinical)
158 W 124TH ST
NEW YORK, NY 10027
Psychologist
158 W 124TH ST
NEW YORK, NY 10027
Student in an Organized Health Care Education/Training Program
158 W 124TH ST
NEW YORK, NY 10027
Psychologist
158 W 124TH ST
NEW YORK, NY 10027
Counselor (Mental Health)
158 W 124TH ST
NEW YORK, NY 10027
Internal Medicine
158 W 124TH ST
NEW YORK, NY 10027
Social Worker
158 W 124TH ST
NEW YORK, NY 10027
Psychologist (Clinical)
158 W 124TH ST
NEW YORK, NY 10027

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 Devine's NPI number?

The NPI number for Matthew Devine is 1720837719. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Matthew Devine located?

Matthew Devine practices at 158 W 124th St, New York, NY 10027. The listed phone number is (332) 243-0021.

What is Matthew Devine's specialty?

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

Is Matthew Devine enrolled in Medicare?

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

Which organization bills Medicare for Matthew Devine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Devine reassigns Medicare benefits to Icahn School Of Medicine At Mount Sinai (New York, NY). 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 Matthew Devine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Devine was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.