Dr. Matthew Aaron Southard
Psychologist (Clinical)

Address: 287 W 147th St Apt 5c, New York, NY 10039-3443
Phone: 7169083059

Dr. Matthew Aaron Southard (NPI# 1003439027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1003439027
Entity Type Individual
Full Name Dr. Matthew Aaron Southard
Credential PH.D.
Gender Male
Practice Address 287 W 147th St Apt 5c
New York
NY 10039-3443
Practice Telephone 7169083059
Mailing Address 287 W 147th St Apt 5c
New York
NY 10039-3443
Mailing Telephone 7169083059
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-05-26
Last Update Date 2020-05-26

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103TC0700X Psychologist · Clinical Behavioral Health & Social Service Providers 023407 NY

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy 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.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Office Location

Street Address 287 W 147TH ST APT 5C
State NY
Zip Code 10039-3443

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265927701 Samara L Pelt Behavior Analyst 700 Lenox Ave Apt 6e, New York, NY 10039 2018-06-27
1245774827 Celeste Elena Simpson Speech-Language Pathologist 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 2016-12-15
1902268840 Rangel Pharmacy Inc Pharmacy 159 12 Harlem River Dr, New York, NY 10039 2016-03-21
1407212319 Daphney Nicolas Early Intervention Provider Agency 271 West 146 Street Apt #9, New York, NY 10039 2016-01-07
1598152555 Elizabeth Dorcena-jeune Physician Assistant 2698 Fredrick Douglass Boulevard, New York, NY 10039 2015-04-16
1083021133 Andrea Kermack Internal Medicine 804 E 138th, Bronx, NY 10039 2014-07-21
1528335577 Carlos Rafael Rodriguez Internal Medicine 2771 Frederick Douglass, New York, NY 10039 2011-11-18
1548578305 Gspm Pharmacy Inc Pharmacy 2830 8th Ave, Pharmacy, New York, NY 10039 2010-09-15
1942524178 Slrhc Faculty Practice Internal Medicine 2771 Frederick Douglass Boulevard, New York, NY 10039 2010-03-17
1700097987 Brenda Joy Baulkman Social Worker 220 West 148th Street, #3n, New York, NY 10039 2007-05-27
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Zip Code 10039

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.