Dr. Dana Nichole Matalon, PsyD
Psychologist, Clinical in Sacramento, CA. Individual provider (NPI-1).
NPI number1154445302
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1154445302
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dana Nichole Matalon
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2007
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Feb 22, 2024 to Feb 22, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY23500 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
5030 J St Ste 200Sacramento, CA 95819-3800
Phone 916-538-0093
Mailing address
Po Box 795Davis, CA 95617-0795
Phone 916-538-0093
Other practice locations
14 N Cottonwood St
Woodland, CA 95695-2585
Woodland, CA 95695-2585
Phone 530-666-8630 · Fax 530-666-8633
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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