Matthew Stanley, Ph.D

Psychologist, Clinical in Westlake, OH. Individual provider (NPI-1).

NPI number1780242974

StatusActive

Last updated in NPPESAug 14, 2020

Details

NPI: 1780242974
Entity type: Individual (NPI-1)
Name: Matthew Stanley
Credential: Ph.D
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 3, 2019
Certification date: Aug 14, 2020
Last updated: Aug 14, 2020

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
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	p.07825	OH	Yes

Practice location

30628 Detroit Rd Ste 125
Westlake, OH 44145-5844

Phone 440-821-0051

Mailing address

30628 Detroit Rd Ste 125
Westlake, OH 44145-5844

Phone 440-821-0051

Is something wrong?

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.

Other Clinical Psychologist providers in Westlake, OH

All 14 Clinical Psychologist providers in Westlake · All 2,275 providers in Westlake

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