JAYA MATHEW PHD, PLLC (NPI# 1902332240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902332240 |
| Entity Type | Organization |
| Organization Name | JAYA MATHEW PHD, PLLC |
| Other Organization Name | WELLLNESS 360 |
| Practice Address |
1340 Prudential Dr Suite A Dallas TX 75235-4115 |
| Practice Telephone | 2147557532 |
| Mailing Telephone | 2147557532 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |
| Authorized Official Name | DR. JAYA MATHEW (OWNER) |
| Authorized Official Telephone | 2147557532 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 36584 | TX | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Welllness 360 | Doing Business As Name - Organization |
| Street Address |
1340 PRUDENTIAL DR SUITE A |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891901997 | North Star Home Health Services, Inc. | Home Health | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2007-05-15 |
| 1992311302 | Ariana Mitchell | Psychologist | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2020-09-21 |
| 1750939625 | Natalie Benedetto | Counselor | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2019-09-03 |
| 1558875302 | Tamara Cannon | Psychologist | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2017-11-30 |
| 1760910285 | Archandria Colette Owens | Psychologist | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2017-05-28 |
| 1477099794 | North Star Home Health Care Inc | Technician | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2017-01-10 |
| 1538436886 | Mary Margaret Mcashan | Psychologist | 1340 Prudential Dr, Dallas, TX 75235-4115 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| 1306483136 | Laura Oei | Psychologist | 17000 Dallas Pkwy Ste 219, Dallas, TX 75248-1943 | 2019-11-27 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1821550500 | Vanguard Center for Neurological Health | Psychologist | 4240 Sigma Rd, Dallas, TX 75244-4414 | 2019-04-02 |
| 1558831933 | Kipp Ryan Pietrantonio | Psychologist | 6363 Forest Park Rd, 7th Floor, Ste. 749, Dallas, TX 75390-9121 | 2018-11-28 |
| 1154896850 | Evan Bodine | Psychologist | 8140 Walnut Hill Ln Ste 440, Dallas, TX 75231-4328 | 2018-10-09 |
| 1235612284 | Kimberly Mccain | Psychologist | 17440 Dallas Pkwy Ste 132, Dallas, TX 75287-7367 | 2018-09-14 |
| 1528557477 | Frances E. Dawson | Psychologist | 2920 Mcfarlin Blvd, Dallas, TX 75205-1920 | 2018-05-07 |
| 1558866384 | Lindsy Magee | Psychologist | 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 | 2018-03-25 |
| Find all providers in DALLAS | ||||
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| 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.