Stephen M. Mathis, PSY.D., A.A.P.T.A.
NPI 1982700217ActiveIndividual· Psychologist· Sandpoint, ID
Psychologist (PSY.D., A.A.P.T.A.) in Sandpoint, Idaho, trained at Wright State University Boonshoft School of Medicine (class of 1990). Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1982700217 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D., A.A.P.T.A. |
| Sole proprietor | Yes |
| NPI issued | Sep 15, 2006 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY203690 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (ID) |
|---|
Education and affiliations
| Medical school | Wright State University Boonshoft School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Clinical Psychologist |
Other Psychologist providers in Sandpoint
- 1811776859
- 1720559248